170240 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: T362690 Page 1 of 1
ONE CIVIC SQUARE SATHYA KATTRAGADDA
CARMEL, INDIANA 46032 13158 ANTONIA BLVD CHECK AMOUNT: $112.00
WESTFIELD IN 46074
CHECK NUMBER: 170240
CHECK DATE: 3/31/2009
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE
1046 4358400 234549 112.00 REFUNDS AWARDS INDE
w
.1
ACTIVITY REFUND RECEIPT
Receipt 234549
Payment Date: 03/02/2009
Household 4273
Home Phone: (317)873 -9079
Work Phone: (317)705 -2612
7BY: R 1 8 2009
SATHYA KATTRAGADDA I
13158 ANTONIA BLVD Monon Center
WESTFIELD IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 56.00
Enrollee Name: Neeharika Katragadda
Activity Number: 486037 -01 Picasso Fees +Tax
Enrollment Date: 02/13/2009 Di-- sceunt Prey Paid
(Cancelled) 0.00 0.00 Paid Amo__ _unt Due
0.00 0.00
0.00
Class Location: College Wood Elem
College Wood Element Class Dates: 03/02/2009 to 03/23/2009
12415 Shelbourne Road 2:45P to 3:45P
Carmel, IN 46032 M
(317)848 7275 Scheduled Sessions: 4
Cancel Reason: Cancelled: Low Enrollment
CANCELLATION Refund Of 56.00
Enrollee Name: Neeharika Katragadda
Activity Number: 486037 -04 Make Art Cultures Fee�a. D;�Ce_nt Prev Paid
Enrollment Date: 02/13/2009 (Cancelled) 0.00 Cur Paid Amount Due
0.00 0.00 0.00
0.00
Class Location: College Wood Elem
College Wood Element class Dates: 03/05/2009 to 03/26/2009
12415 Shelbourne Road 2:45P to 145P
Carmel, IN 46032 Th
(317)848 -7275 Scheduled Sessions: 4
Cancel Reason: Cancelled: Low Enrollment
GL Code Description___
999999 Control Account (AP) Account Number Cst Cn_t Descri n t N
Enter Control Acct —P tio— Accounumber
CNTRL Control Account AP Amount
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. Enter Control Acct here 112.00 DR
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
i
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ACTIVITY REFUND RECEIPT
Receipt 234549
Payment Date: 03/02/2009
Household 4273
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/02/09 10:30:24 by AIR FEES CHANGED ON CANCELLED ITEMS 112.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 112.00-
TOTAL AMOUNT REFUNDED 112.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 112.00 Made By REFUND FINAN With Reference
All refund?,s are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or cre d refunds.
A�
Authorized Signature Date Authorized Signature Date
10
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.
Kattragadda, Sathya Terms
13158 Antonia Blvd Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/2/09 234549 Refund 112.00
Total 112.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Kattragadda, Sathya Allowed 20
13158 Antonia Blvd
Westfield, IN 46074
In Sum of
112.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 234549 4358400 112.00 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
25 -Mar 2009
Signature
112.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund