166349 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362466 Page 1 of 1
ONE CIVIC SQUARE LISA BAIR CHECK AMOUNT: $90.00
,a CARMEL, INDIANA 46032 13799 LAREDO DRIVE
CARMEL IN 46032 CHECK NUMBER: 168349
CHECK DATE: 2!412009
DEPARTMENT A PO NUMBER INVOIC AMOUNT DESCR IPTION
1047 4358400 90.00 PARKS DEPARTMENT REFU
t
ACTIVITY REFUND RECEIPT
Receipt 220731
Payment Date: 01/19/2009
Household e (317) 705 -1514
Home Phone: �KCFT�D
e (317)
Work Phone: (317)786 -7687 JAN 2 4 2009
Y:
LISA BAIR Monon Center
13799 LAREDO DRIVE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 90.00
Enrollee Name: Brooke Bair Fees Tax Discount Prev Paid Cur Pald Amount Due
Activity Number: 396368 -01 Cheerleading 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/1112009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Program Room C Class Dates: 01/14/2009 to 03/04/2009
Monon Center 6:OOP to 7:OOP
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G/L Code Descri Account Numb Csl Cntr Description Ac count Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 90.00 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.o0
Processed on 01/19109 13:06:19 by LVA FEES CHANGED ON CANCELLED ITEMS 90.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 90.00
TOTAL AMOUNT REFUNDED 90.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 90.00 Made By REFUND FINAN With Reference low enrollment
s
ACTIVITY REFUND RECEIPT
Receipt 220731
Payment Date: 01/19/2009
Household 21701
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss ed. No cash or credit card refunds.
L4
Authorize gnature Ddte Authorized Signature Date
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Low ey\y
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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.
Bair, Lisa Terms
13799 Laredo Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1!19109 220731 Refund 90.00
Total 90.00
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
,20
Clerk- Treasurer
Voucher No. Warrant No.
Bair, Lisa Allowed 20
13799 Laredo Drive
Carmel, IN 46032
In Sum of
'4
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 220731 4358400 90.00 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
r
2 -Feb 2009
Signature
)0 Accounts Payable Coordinator
Title
l