169860 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T362668 Page 1 of 1
ONE CIVIC SQUARE COLEMAN, STACY CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 10357 N COLLEGE AVE
INDIANAPOLIS IN 46280
CHECK NUMBER: 169860
CHECK DATE: 3/18/2009
DEPARTMENT ACCO PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1047 4358400 35.00 PARKS DEPARTMENT REFU
C
ACTIVITY REFUND RECEIPT
Receipt 232734 7MA 2 2009
Payment Date: 02/25/2009
Household 20808
Home Phone: (317)843 -0747 Work Phone: (317)814 -8400
A
STACY COLEMAN Monon Center
10357 NORTH COLLEGE AVE. Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 35.00
Enrollee Name: Kasey Coleman Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 398087 -02 Indoor Bowling 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/11/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium B Class Dates: 03/08/2009 to 04/19/2009
Monon Center 2:OOP to 3:OOP
Su
Carmel, IN 46032 Skip Days 04/05/2009
(317)848 -7275 Scheduled Sessions: 6
Cancel Reason: Low enrollment
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 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 02/25/09 15:40:51 by BNT FEES CHANGED ON CANCELLED ITEMS 35.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 35.00
TOTAL AMOUNT REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference check
Page 1
ACTIVITY REFUND RECEIPT
Receipt 232734
Payment Date: 02/25/2009
Household 20808
'All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or crpdit card refunds.
Authorized Signatur Date Authorized Signature Date
9W
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.
Coleman, Stacy Terms
10357 North College Ave Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2125/09 232734 Refund 35.00
Total 35.00
1 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Coleman, Stacy Allowed 20
10357 North College Ave
Indianapolis, IN 46280
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1047 232734 4358400 35.00 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
12 -Mar 2009
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund