177884 09/29/2009 CITY OF CARMEL INDIANA VENDOR: 363373 Page 1 of 1
ONE CIVIC SQUARE NEIL UNDERHILL
Y O e 2442 BURNHAM WALK CHECK AMOUNT: $58.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 177884
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE
1047 4358400 339746 58.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 339746 II
Payment Date: 09122/2009
Household 21632
Home Phone: (317)733 -1732 SEP 2009
BY
NEIL UNDERHILL Monon Center
2442 BURNHAM WALK Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 58.00
Enrollee Name: Evelin Underhill Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 293007 -04 Starfish -Level 2 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 09/01/2009 (Cancelled)
Class location: Indoor Lap Pool 2 Class Dates: 10/03/2009 to 11/21/2009
Monon Center 10:OOA to 10:45A
Sa
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Fee Details: Fee Description Am ount Count Disco Sales Tax Total Fee
Starfish- Level 2 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Advanced Request
GIL Code Description Account Number Cst Cn Description Acco Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 58.00 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 09/22109 20:49 :55 by TCP FEES CHANGED ON CANCELLED ITEMS 65.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 7.00
NET AMOUNT FROM CANCELLEDEITEMS
TOTAL AMOUNT.REFUNDED 7 58:00`
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 58.00 Made By REFUND FINAN With Reference Advanced Request
Page 1
t4 GLOBAL REFUND RECEIPT
Receipt 339746
Payment Date: 09/22/2009
Household 21632
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,
Underhill, Neil Terms
2442 Burnham Walk Date Due
Carmel, IN 46032
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9122109 339746 Refund 58.00
Total 58.00
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.
Underhill, Neil Allowed 20
2442 Burnham Walk
Carmel, IN 46032
In Sum of
I
58.00
1
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITL AMOUNT Board Members
Dept
1047 339746 4358400 58.00 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
24 -Sep 2009
Signature
58.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund