173734 06/24/2009 „w CITY OF CARMEL, INDIANA VENDOR: 362963 Page 1 of 1
ONE CIVIC SQUARE KATIE BONNER
CARMEL, INDIANA 46032 535 COLLEGE DRIVE BLDG K CHECK AMOUNT: $495.00
CARMEL IN 46032
CHECK NUMBER: 173734
CHECK DATE: 6/24/2009
D EPAR T MENT ACC PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 i 495.00 PARKS DEPARTMENT REFU
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ti
ACTIVITY REFUND RECEIPT
7]r r
Receipt 264078"
Payment Date: 05/26/2009 t J UN C) 8 2009 J
Household 15963
Home Phone: (31'7)817 -2112
Work Phone:
J
1 KATIE BONNER Monon Center
535 COLLEGE DRIVE Carmel IN 46032
BUILDING K
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 495.00
Enrollee Name: Clay Maurer Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 197520 -01 Coed Flag Football 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/23/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: West Park Field Class Dates: 06/08/2009 to 08/10/2009
West Park 6:OOP to 9:OOP
2700 W. 116th St. M
Carmel IN 46032 Scheduled Sessions: 10
(317)848 -7275
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cntr Description Account Number Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 495.00 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 05/26/09 12:40:51 by MML FEES CHANGED ON CANCELLED ITEMS 495.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 495.00
TOTAL AMOUNT REFUNDED 495.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 495.00 Made By REFUND FINAN With Reference low enrollment
Page #1
ACTIVITY REFUND RECEIPT
Receipt 264078
Payment Date: 05/26/2009
Household 15963
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.
CIO
Authorized Signature Date A Authorized Signature Date
47, L� 2a
-5. 4
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.
Bonner, Katie Terms
535 College Drive, Bldg K Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/26/09 264078 Refund 495.00
Total 495.00
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
I
Voucher No. Warrant No.
Bonner, Katie Allowed 20
535 College Drive, Bldg K
d' Carmel, IN 46032
In Sum of
495.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 264078 4358400 495.00 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
18 -Jun 2009
Signature
495.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund