176216 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: T362178 Page 1 of 1
ONE CIVIC SQUARE MEGGAN EHRET
CARMEL, INDIANA 46032 10391 POWER DRIVE CHECK AMOUNT: $55.00
CARMEL IN 46033
CHECK NUMBER: 176216
CHECK DATE: 8/1912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 316343 55.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 316343
Payment Date: 08/04/2009
Household 16727
Home Phone: (317)818 -1096 U
Work Phone: (317)587 -4966
AUG 1 o 2009
MEGGAN EHRET Monon Center
10391 POWER DRIVE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID 435- 6000972
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Emma Ehret Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 195121 -04 Mom -N -Me Gymnastics 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/05/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Gymnasium C Class Dates- 08/04/2009 to 08/25/2009
Monon Center 10:30A to 11;OOA
Tu
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason. low enrollment
GI Code Descripti Accoun Num Cst C.ntr De Account- _____Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 55.00 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 08/04/09 10.20.08 by LVA FEES CHANGED ON CANCELLED ITEMS 55.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 55.00.
TOTAL AMOUNT REFUNDED 55.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 316343
Payment Date: 08/0412009
Household 16727
All refund re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue o ash or credit c rd refunds.
Authorized Sign re D e Authorized Signature Date
03 Val- D 0 g3��gO O
Low
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.
Ehret, Meggan Terms
10391 Power Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/4/09 316343 Refund 55.00
Total 55.00
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
,20_
Clerk- Treasurer
Voucher No. Warrant No.
Ehret, Meggan Allowed 20
10391 Power Drive
Carmel, IN 46033
In Sum of
I
55.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 316343 4358400 55.00 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
13 -Aug 2009
y�rponma-'
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund