171041 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362765 Page 1 of 1
t,.
ONE CIVIC SQUARE AMY PENNANT -JONES
g i CHECK AMOUNT: $2,011.00
CARMEL, INDIANA 46032 5583 TRAMMEL COURT
CARMEL IN 46033 CHECK NUMBER: 171041
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1046 s 4358400 2,011.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 245472
Payment Date: 04/06/2009
Household 7815
Home Phone: (317)569 -1433
Work Phone: (317)848 -1549
AMY PENNANT -JONES Wood Brook Elementar
5583 TRAMMEL COURT 4311 East 116th Street
CARMEL IN 46033 Carmel IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 1,036.00
Enrollee Name: Dylan Pennant-Jones Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -10 Vacation Station 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/07/2009 (Cancelled)
Class Location: Cherry Tree Elem Sch Class Dates: 06/01/2009 to 07/31/2009
Cherry Tree Elementa 7:OOA to 6:OOP
13869 Hazel Dell Road M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 45
(317)848 -7275
Fee Details: F.ee_Description Amount _Count Discount Sales-Tax —,-Total Fee_
Vacation Station Res 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Change in employment Status
CANCELLATION Refund Of 975.00
Enrollee Name: Brooke Pennant -Jones Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476001 -10 Vacation Station 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/07/2009 (Cancelled)
Class Location: Cherry Tree Elem Sch Class Dates: 06/01 /2009 to 07/31 /2009
Cherry Tree Elementa 7:OOA to 6:OOP
13869 Hazel Dell Road M,Tu,W,Th,F
Carmel, IN 46033 Scheduled Sessions: 45
(317)848 -7275
Fee Details: Fee—Description _Amount Count D_ iscount Sales Tax Total_F_e_e_
Vacation Station Res 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Change in employment Status
Page 1
ACTIVITY REFUND RECEIPT
Receipt 245472
Payment Date: 04/06/2009
Household 7815
G/L Code Descrip Account Nu mber Cst Cntr Description Account Number Amoun t
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 2011.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 04/06/09 10:17:31 by NUB FEES CHANGED ON CANCELLED ITEMS 2,025.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCELLED ITEMS 20 11.00-
TOTAL AMOUNT REFUNDED 2,011.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 2,011.00 Made By REFUND FINAN With Reference
All refunds ire subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check wily be
issued. N cash or credit card refunds.
uthor d Signature Date Authorized Signature Date
y� C p a��II��
APR 0 7 2009
BY:
Page #2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Pennant Jones, Amy Terms
5583 Trammel Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
416109 245472 Refund 2,011.00
Total 2,011.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Pennant Jones, Amy Allowed 20
5583 Trammel Court
Carmel, IN 46033
In Sum of
2,011.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 245472 4358400 2,011.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
10 -Apr 2009
Signature
2,011.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund