173722 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362983 Page 1 of 1
0 ONE CIVIC SQUARE ANGELA BANOY CHECK AMOUNT: $150.00
s ??a CARMEL, INDIANA 46032 1640 NORTH ENGLEWOOD DRIVE
INDIANAPOLIS IN 46219 CHECK NUMBER: 173722
CHECK DATE: 6/24/2009
DEP A CCOUNT PO NUMBER INVOI N AMOU DES CRIPTION
1046 4358400 r 150.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 278160
Payment Date: 06/1612009
Household 26946
Home Phone: (317)354 -0919 p 3 R
Work Phone: (317 -1
JUN 2 2 2009
ANGELA BANOY West Clay Elementary,
1640 NORTH ENGLEWOOD DR. 3495 W. 126th St.
INDIANAPOLIS IN 46219 Carmel IN 46032
Phone: (317)844 -9961
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 150.00
Enrollee Name: Kyle Knorr Fees Tax Discount. Prev Paid Cur Paid Amount Due
Activity Number: 476004 -14 Alternative Minds 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/0112009 (Cancelled)
Class Location: Smoky Row Elem Class Dates: 06/22/2009 to 06/26/2009
Smoky Row Elementary 8:OOA to 4:OOP
900 West 136th Street M,Tu,W,Th,F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848 -7275
Cancel Reason: in hospital
G/L Code Description Acco-unt Number Cst Cntr_ Description_ Account Number .__Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 150.00 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 06/16/09 15:38:53 by JLH FEES CHANGED ON CANCELLED ITEMS 150.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 151).00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference
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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 278160
Payment Date: 06/16/2009
Household 26946
Aut riz ign re Date Authorized Signature Date
v
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.
Banoy, Angela Terms
1640 North Englewood Dr Date Due
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6116109 278160 Refund 150.00
Total 150.00
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.
Banoy, Angela Allowed 20
1640 North Englewood Dr
Indianapolis, IN 46219
In Sum of$
150.00
ON ACCOUNT OF APPROPRIATION FOR
104 program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 278160 4358400 150.00 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
22 -Jun 2009
W
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund