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174745 07/22/2009 <a CITY OF CARMEL, INDIANA VENDOR. 363067 Page 1 of 1 ONE CIVIC SQUARE HOPE BAUGH CARMEL, INDIANA 46032 CHECK AMOUNT: $70.00 s CHECK NUMBER: 174745 9 M /'rDN `O CHECK DATE: 7/22/2009 DEP ARTME NT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 70.00 PARKS DEPARTMENT REF"U ACTIVITY REFUND RECEIPT Receipt 291907 Payment Date: 06/30/2009 Household 26337 ­JUL p 7 2 009 J l Home Phone: (317)569 -1834 Wofk Phone: HOPE BAUGH Monon Center 931 W AU MAN DR. Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details ROSTER CHANGE Refund Of 70.00 Enrollee Name: Hope Baugh Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 197241 -01 Movie Maker Basics 70.00 0.00 70.00 0.00 0.00 Enrollment Date: 04/29/2009 (Enrolled) Primary Instructor: Gary Wood Class Location: Computer Lab Class Dates: 05/04/2009 to 07/20/2009 Monon Center 6:30P to 8:301P M Carmel, IN 46032 Scheduled Sessions: 11 (317)848 -7275 Skip Days 05/31/2009, 07/06/2009 Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fe Movie Maker Basics 70.00 1.00 0.00 0.00 70.00 G/L Code Descri Account Number Cst_C Descri Acco Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 70.00 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 06/30/09 16.05.52 by MML FEES ADJUSTED ON CHANGED ITEMS 70.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 NET AMOUNT FROM CHANGED ITEMS 70:00= TOTAL.AMOUNT REFUNDED 70:00 NEW NET HOUSEHOLD BALANCE 0.00 Page 1 ACTIVITY REFUND RECEIPT Receipt 291907 Payment Date: 06/30/2009 Household 26337 Refund of 70.00 Made By REFUND FINAN With Reference instructor error All refunds r bject to State Bo d of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. o edit rd r ds. a"7 Y1 up Z X4(h Wd ignat re to Authorized Signature Date o's g�C� JUL 0 7 2009 Page 2 :s 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. Baugh, Hope Terms 931 W Auman Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/30/09 291907 Refund 70.00 Total 70.00 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. Baugh, Hope Allowed 20 931 W Auman Dr Carmel, IN 46032 In Sum of$ r 70.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047. 291907 4358400 70.00 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 16 -Jul 2009 /y Signature 70.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund