169044 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362566 Page 1 of 1
0 ONE CIVIC SQUARE ERIN KRUGER
CHECK AMOUNT: $16.00
CARMEL, INDIANA 46032 452 HAWTHORNE DR
CARMEL IN 46033 CHECK NUMBER: 169044
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 223128 16.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 223128 FC]I IVED
Payment Date: 01/29/2009
Household 23355 FEB q 2009
Home Phone: (317)574 -0702
Work Phone:
BY:
ERIN KRUGER Monon Center
452 HAWTHORNE DR. Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 1.00
Enrollee Name: Jackson kruger Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 399047 -01 Prince Charming's Ba 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/05/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Banquet Room -All 3 Class Dates: 02/06/2009 to 02/06/2009
Monon Center 6:OOP to 8:OOP
F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prince Charming's Ba 7.00 1.00 0.00 0.00 7.00
Cancel Reason: change of schedule
CANCELLATION Refund Of 15.00
Enrollee Name: Erin kruger Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 399047 -01 Prince Charming's Ba 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 01/05/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Banquet Room -All 3 Class Dates: 02/06/2009 to 02/06/2009
Monon Center 6:OOP to 8:OOP
F
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 1
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prince Charming's Ba 7.00 1.00 0.00 0.00 7.00
Cancel Reason: change of schedule
Page #1
ACTIVITY REFUND RECEIPT
Receipt 223128
Payment Date: 01/29/2009
Household 23355
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 16.00 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 01/29/09 16:57:42 by SAC FEES CHANGED ON CANCELLED ITEMS 30.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NET AMOUNT FROM CANCELLED ITEMS, 16.00
TOTAL AMOUNT REFUNDED 16.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 16.00 Made By REFUND FINAN With Reference change of schedule
Rewards Points refunded on this receipt: 1.40
Household Reward Point Balance: 6.50
A refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i sued. No cash or cred' card refunds.
Z I Z
Au
thorized Signature Date Authorized Signature Date
rek j aA
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
Kruger, Erin
452 Hawthorne Dr Date Due
Carmel, IN 46033
Invoice W223128 Description
Date
j attached invoice(s) or bill(s)) Amount
16.00
1129109 Refund
Total 16.00
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.
Kruger, Erin Allowed 20
452 Hawthorne Dr
Carmel, IN 46033.
In Sum of
4
16.00
ti
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 223128 4358400 16.00 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
13 -Feb 2009
Signature
16.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund