175605 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363201 Page 1 of 1
ONE CIVIC SQUARE ELIZABETH BOGER CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 4826 SKIPPING ROCK COURT
`o CARMEL IN 46033 CHECK NUMBER: 175605
CHECK DATE: 8/6/2009
DEP ACC P NUMBER INV NUMBER AMOUNT DESCRIPTION
1047 4358400 312351 15.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
eceipt 312351
ayment Date: 07/30/2009 JUL 3
ousehold 17014 1 2009 r
ome Phone: (317)705 -0343
lork Phone: (317)694 -6487
ELIZABETH BOGER Monon Center
4826 SKIPPING ROCK COURT Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
,nrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Stephen Boger Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 198070 Mat Play 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 06/04/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Fitness Studio B Class Dates: 08/03/2009 to 08/31/2009
Monon Center 4:OOP to 4:45P
M
Carmel IN 46032 Scheduled Sessions: 5
(317)848 7275
Cancel Reason: Low Enrollment
G /L Code Description Acc ount Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 15.00 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 07/30/09 14:52:03 by BNT FEES CHANGED ON CANCELLED ITEMS 15.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 15.00
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference Low Enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 312351
Payment Date: 07/30/2009
Household 17014
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.
OI
Authorized Signatur Date Authorized Signature D to
IAN) L�
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.
Terms
Boger, Elizabeth
4826 Skipping Rock Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
15.00
7130109 312351 Refund
Total 15.00
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.
Boger, Elizabeth Allowed 20
4826 Skipping Rock Court
Carmel, IN 46033
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 312351 4358400 15.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
m2terials or services itemized thereon for
which charge is made were ordered and
received except
31 -Jul 2009
Signature
k 1 5 0 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund