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Home My WebLink About167780 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: 362357 Page 1 of 1 ONE CIVEC SQUARE CARTER ELLI CHECK AMOUNT: $128.00 CARMEL, INDIANA 46032 35 MAPLE CREST DR •M, ow �o CARMEL IN 46033 CHECK NUMBER: 167780 CHECK DATE: 1120/2009 DEPARTMENT ACCOUNT P O NUMBER IN VOIC E NUMBER AMOU DESCRIPTION 1047 4358400 213793 128.00 REFUNDS AWARDS TNDE ACTIVITY REFUND RECEIPT Receipt# 213793 j 77 Payment Date: 12/31/2008 Household 23421 JAN 0 7 2009 Home Phone: (317)846 -1169 Work Phone: ELLI CARTER Monon Center 35 MAPLE CREST DRIVE Carmel IN 46032 CAARMEL IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 64.00 Enrollee Name: Ell! Carter Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number: 397366 -01 Tap 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/03/2008 (Cancelled) Primary Instructor: Dance Class Studio Class Location: Dance Class Studio Class Dates: 01/08/2009 to 02/26/2009 Dance Class Studio 10:45A to 11:30A 260 W. Carmel Drive Th Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 Cancel Reason: low enrollment CANCELLATION Refund Of 64.00 Enrollee Name: Elli Carter Fees Tax Discount Prey Paid Cur Paid Amount Due Activity Number: 397393 -01 Jazz 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 12/03/2008 (Cancelled) Primary Instructor: Dance Class Studio Class Location: Dance Class Studio Class Dates: 01/08/2009 to 02/26/2009 Dance Class Studio 10:OOA to 10:45A 260 W. Carmel Drive Th Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 8 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 128.00 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 213793 Payment Date: 12/31/2008 Household 23421 PREVIOUS NET HOUSEHOLD BALANCE 0.00 'Processed on 12131!08 13:28:45 by CNA FEES CHANGED ON CANCELLED ITEMS 128.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 1 28. 00 1 TOTAL AMOUNT REFUNDED 128.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 128.00 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. No cash or credit card refunds. Authorized Signature Date Authorized Signature ate Page 2 L11:��I 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. Carter, Elli Terms 35 Maple Crest Drive Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/31/08 213793 Refund 128.00 Total 128.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Carter, Elli Allowed 20 35 Maple Crest Drive Carmel, IN 46033 In Sum of 128.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 213793 4358400 128.00 1 hereby certify that the attached invoice(s), or :;ill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 15 -Jan 2009 Signature 128.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund