177814 09/29/2009 a CITY OF CARMEL, INDIANA VENDOR: T358154 Page 1 of 1
ONE CIVIC SQUARE SHERYL QUIGLEY
CHECK AMOUNT: $204.00
CARMEL, INDIANA 46032 12979 THURMOND WAY
WESTFIELD IN 46074 CHECK NUMBER: 177814
CHECK DATE: 912912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 338446 204.00 REFUNDS AWARDS INDE
�y
ACTIVITY REFUND RECEIPT
Receipt Payment Date: 09$ 546
Household 718
Home Phone: (317)663 -0573 3 ZQ�9
Work Phone: (925)336 -1676
BY:
SHERYL QUIGLEY Monon Center
12979 THURMOND WAY Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 102.00
Enrollee Name: Gabriel Quigley Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 296320 -02 Chinese 0.00 0.00 Mo 0.00 0.00
Enrollment Date: 08/27/2009 (Cancelled)
Class Location: Meeting Room Class Dates: 09/14/2009 to 11/02/2009
Monon Center 4:45P to 5:45P
M
Carmel IN 46032 Scheduled Sessions: 8
_(317)848 -7275
Cancel Reason: Low enrollment
CANCELLATION Refund Of 102.00
Enrollee Name: Madison Quigley Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 296320 -02 Chinese 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/27/2009 (Cancelled)
Class Location: Meeting Room Class Dates: 09/14/2009 to 11/02/2009
Monon Center 4:45P to 5:45P
M
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Cancel Reason: Low enrollment
G/L Code Description_.._ Account Number.______.. Cs Cntr_,_ Description Accou Nu mber Amou
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 204.00 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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 338446
Payment Date: 09/15/2009
Household 718
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 09/15/09 12:56:53 by LVA FEES CHANGED ON CANCELLED ITEMS 204.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 204.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 204.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
l /off
Authorized Sign t re Dale Authorized Signature Date
r7 "00 q3 slvvo
Low
Page 9 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.
Quigley, Sheryl Terms
12979 Thurmond Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9115109 338446 Refund 204.00
�$204.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Quigley, Sheryl Allowed 20
12979 Thurmond Way
Westfield, IN 46074
In Sum of
204.00
ON ACCOUNT OF APPROPRIATION FOR
l 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 338446 4358400 204.00 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
24 -Sep 2009
Signature
204.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund