169370 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362602 Page 1 of 1
ONE CIVIC SQUARE VANESSA BROWN CHECK AMOUNT: $27.00
,,�o CARMEL, INDIANA 46032 14472 SADDLEBACK DR
CARMEL IN 46032 CHECK NUMBER: 169370
CHECK DATE: 3/412009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 227938 27.00 REFUNDS AWARDS INDE
g.
d#
.-n
n
I
ACTIVITY REFUND RECEIPT
T
Receipt 227938
Payment Date: 02114/2009
H-usehold 6203
Home Phone: (317)581 -4410 FRR 1 8 2009
Work. Phone:
VANESSA BROWN Monon Center
14472 SADDLEBACK DRIVE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Elizabeth Brown Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395275 -01 Little Luau 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01108/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 02/11/2009 to 02/11/2009
Monon Center 10:30A to 11:15A
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
CANCELLATION Refund Of 12.00
Enrollee Name: Ethan Brown Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395275 Little Luau 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/0812009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 02/11/2009 to 02/11/2009
Monon Center 10:30A to 11:15A
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Cancel Reason: low enrollment
GIL Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 27.00 OR
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.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 227938
Payment Date: 02/14/2009
Household 6203
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 3.00
Processed on 02/14/09 r?a 08:01:30 by CNA FEES CHANGED ON CANCELLED ITEMS 24,00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED. ITEMS 24.fl0-
HH BALANCE APPLIED TO THIS RECEIPT 300
TOTAL AMOUNT REFUNDED 27;00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 27.00 Made By REFUND FINAN With Reference low enrollment
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.
�e� 1�/oq der a 09
A thorized Signature Date Authorized Signature Date
q7. yo. 5Sq ao
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.
Brown, Vanessa Terms
14472 Saddleback Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2114109 227938 Refund 27.00
Total 27.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Brown, Vanessa Allowed 20
14472 Saddleback Drive
Carmel, IN 46032
In Sum of
i�
t
27.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/T1TLE AMOUNT Board Members
Dept
1047 227938 4358400 27.00 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
26 -Feb 2009
Signature
27.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
I claim paid motor vehicle highway fund