01202009 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T359162 Page 1 of 1
i ONE CIVIC SQUARE ELIZABETH VANNOY CHECK AMOUNT: $346.00
CARMEL, INDIANA 46032 1837 BRAEBURN OR
CARMEL IN 46032 CHECK NUMBER: 167871
CHECK DATE: 1/20/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 346.00 REFUNDS AWARDS INDE
rJ"
ACTIVITY REFUND RECEIPT
Receipt 192525
Payment Date: 10/07/2008 JAN 7 Ll? 9
Household 4549
Home Phone: (317)587 -8755
Work Phone: :r
ELIZABETH VANNOY Monon Center
1837 BRAEBURN DR. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 166.00
Enrollee Name: Lillian Vannoy Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 383015 -02 One -On -One Lessons 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 12/2012007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Pool Private Lesson2 Class Dates: 01/14/2008 to 08/20/2008
Monon Center 8:OOA to 7:001?
M,Tu,W,Th,F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 189
Fee Details: Fee Description Amount Count Discount. Sales Tax Total Fee
One -on -One Resident 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Patent said shw never revieved the class and wants a refund!
CANCELLATION Refund Of 180.00
Enrollee Name: Rosemary Vannoy Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 383015 -02 One -On -One Lessons 7.00 0.0o 0.00 7.00 0.00
Enrotlment Date: 12/2012007 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Pool Private Lesson2 Class Dates: 01/14/2008 to 08/20/2008
Monon Center 8:OOA to 7:OOP
M,Tu,W,Th,F,Sa
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 189
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
One -on -One Resident 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Patent said shw never revieved the class and wants a refund!
Page 4 1
y ACTIVITY REFUND RECEIPT
Receipt 192525
Payment Date: 10107aCD8-
Household 4549
JAN 0 7 2009
I
GIL Code Descri Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 346.00 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 10/07/08 11:41:10 by ALC FEES CHANGED ON CANCELLED ITEMS 360.00
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 14.00
NETAMOUNT "FROM CANCELLED:ITEMS. .$:_x Q34fi:00
>.TOTAL`AMOUNT'REFUNDED 'r
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 346.00 Made By REFUND FINAN With Reference
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 cas 1 or credit card refunds.
uthorize ignature Date Authorized Signature Date
1 �7
lea S Ok i k70 Se Y-� -6 CA, C/Y-- I �1 Oc-1 --)e V- 08 a�l cl
X 11 (I k7b� i.z-,ie e i q C) UyLe C G k }Pkp P- SS +D-7 i S
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Page 2
ACCOUNTS PAYABLE VOUCHER
M 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.
Vannoy, Elizabeth Terms
1837 Braeburn Dr Date Due
Carmel, IN 46032
Y
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1017108 192525 Refund 346.00
Total 346.00
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.
Vannoy, Elizabeth Allowed 20
1837 Braeburn Dr
Carmel, IN 46032
P In Sum of
346.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 192525 4358400 346.00 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
346.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund