168917 02/17/2009 f CITY OF CARMEL, INDIANA VENDOR: T362557 Page 1 of 1
ONE CIVIC SQUARE MEI -LAN CHYI
CARMEL, INDIANA 46032 336 1RST CT CHECK AMOUNT: $76.00
CARMEL IN 46032 CHECK NUMBER: 168917
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO.NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 225292 76.00 REFUNDS' AWARDS INDE
I
ACTIVITY REFUND RECEIPT
Receipt 225292
Payment Dale: 02/05/2009
Household 24492
Home Phone: (317)573 -0439 C
Work Phone:
FEB 1 1. 2009
MEI -LAN CHYI Monon Center BY:
136 1 RST COURT. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 76.00
Enrollee Name: Mei -Ian chyi Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 397221 -02 Basics of Oil Painti 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0113112009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Art Studio Class Dates: 02/11/2009 to 03104/2009
Monon Center 6:OOP to 8:OOP
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason. low enrollment
GIL Code Description Account Number Cst Cntr Description Account Numbe Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 76.00 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 02105/09 12:39:36 by MML FEES CHANGED ON CANCELLED ITEMS 76.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROWCANCELLED ITEMS 76.00
TOTAL AMOUNT REFUNDED 76.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 76.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 225292
Payment Date: 02/05/2009
Household 24492
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue o c sh o credit card refunds.
Authorize Signature Date Authorized Signature Date
4 W Zc), 43�� [L-u
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.
Chyi, Mei -Lan Terms
136 1 rst court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2!5109 225292 Refund 76.00
Total 76.00
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.
Chyi, Mei -Lan Allowed 20
136 1 rst court
Carmel, IN 46032
In Sum of
76.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or, INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1047 225292 4358400 76.00 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 -Feb 2009
Signature
76.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund