`67784 01/10/2009 CITY OF CARMEL, INDIANA VENDOR: T362361 Page 1 of 1
ONE CIVIC SQUARE JEFF JOLIET CHECK AMOUNT: $65.00
CARMEL, INDIANA 46032 1910 TROWBRIDGE HIGH ST
CARMEL IN 46032 CHECK NUMBER: 167784
CHECK DATE: 1/20/2009
DEPARTMENT A CCO U NT PO NUM BER INVOICE NUMBER AM OUNT D ESCRIPTION
1047 4358400 i 213795 65.00 REFUNDS AWARDS INDE
c�,
ACTIVITY REFUND RECEIPT
Receipt 213795
Payment Date: 12/31/2008 I
Household 11149 JAN 0 7 2009
Home Phone: (317)810 -9177
Work Phone: (440)785 -4324
JEFF JOLIET Monon Center
1910 TROWBRIDGE HIGH STREET Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 65.00
Enrollee Name: Ella Joliet Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 395230 -09 Petite Dancers 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/15/2008 (Cancelled)
Primary Instructor: Dance Class Studio
Class Location: Dance Studio Class Dates: 01/08/2009 to 02/26/2009
Monon Center 12:30P to 1:15P
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G/L 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 65.00 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 12/31/08 13:30:10 by CNA FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 65.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 65.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 213795
Payment Date: 12/31/2008
Household M 11149
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.
Authorized Signature Date Authorized Signature Date
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.
Joliet, Jeff Terms
1910 Trowbridge High St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12131108 213795 Refund 65.00
Total 65.00
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
Voucher No. Warrant No.
Joliet, Jeff Allowed 20
1910 Trowbridge High St
Carmel, IN 46032
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 213795 4358400 65.00 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
15 -Jan 2009
Signature
65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund