169592 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362609 Page 1 of 1
ONE CIVIC SQUARE DEAN RAMSAMOOJ
CARMEL, INDIANA 46032 2413 LAUREL LAKES BLVD CHECK AMOUNT: $135.OD
CARMEL IN 46032 CHECK NUMBER: 169592
CHECK DATE: 314/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN D ESCRIPTION
1047 4358400 226208 135.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 226208
Payment Date: 02/08/2009
Household 16312
Home Phone: (317)674 -5150
Work Phone:
DEAN RAMSAMOOJ Monon Center
2413 LAUREL LAKES BLVD Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 135.00
Enroifee Name: Christian Ramsamooj Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395231 -01 Kindermusik Fiddle 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/08/2009 (Cancelled)
Primary Instructor Kindermusik
Class Location: Program Room C Class Dates: 02113/2.009 to 04/24/2009
Monon Center 10:30A to 11:10A
F
Carmel, IN 46032 Skip Days 04/10/2009
(317)848 -7275 Scheduled Sessions: 10
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 135.00 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 02/08/09 20:34:16 by CNA FEES CHANGED ON CANCELLED ITEMS 135.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET 'AMOUNT FROM CANCELLEDdTEMS
TOTAL AMOUNT.REFUNDED 135:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 135.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
1 h
Receipt 226208
Payment Date: 02/08/2009
Household 16312
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.
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AutKorized 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.
Ramsamooj, Dean Terms
2413 Laurel Lakes Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
218!09 226208 Refund 135.00
Total 135.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Ramsamooj, Dean Allowed 20
2413 Laurel Lakes Blvd
Carmel, IN 46032
In Sum of
135.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1047 226208 4358400 135.00 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
135.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund