175951 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363199 Page 1 of 1
J
ONE CIVIC SQUARE JENNIFER WEBER CHECK AMOUNT: $90.00
CARMEL, INDIANA 46032 3901 CREST POINT DR
NOBLESVILLE IN 46062 CHECK NUMBER: 175951
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 307217 90.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 307217
Payment Date: 07/22/2009
Household 5047
Home Phone: (317)867 -8586
Work Phone: (317)576 -6010
JU!. 200 U
JENNIFER WEBER Monon Center
3901 CREST POINT DR Carmel IN 46032
NOBLESVILLE IN 46062
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 38.00
Enrollee Name: Jack Weber Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 193004 -34 Guppy 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/20/2009 (Cancelled)
Class Location: Ind Leisure 4 Class Dates: 08/25/2009 to 09/17/2009
Monon Center 6:15P to 6:45P
Tu,Th
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Penguin Level 2 (Pre 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Conflict with school schedule
CANCELLATION Refund Of 52.00
Enrollee Name: Sam Weber Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 193003 -34 Goldfish 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 05/20/2009 (Cancelled)
Class Location: Ind Leisure 3 Class Dates: 08/25/2009 to 09/17/2009
Monon Center 6:15P to 6:45P
Tu,Th
Carmel, IN 46032 Scheduled Sessions: 8
(317)848 -7275
Fee Details: Fee Description Amount Count Di Sales Tax Total Fe
Goldfish Level 1 (Pr 7.00 1.00 0.00 0.00 7.00
Cancel Reason: Conflict with school schedule
Page 1
ACTIVITY REFUND RECEIPT
Receipt 307217
Payment Date: 07/22/2009
Household 5047
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 90.00 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 07/22/09 13:01:08 by ALC FEES CHANGED ON CANCELLED ITEMS 104.00
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 90.00
TOTAL AMOUNT REFUNDED 90.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 90.00 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 cash or credit card refunds.
.402r (1140111K- 0
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.
Weber, Jennifer Terms
3901 Crest Point Dr Date Due
Noblesville, IN 46062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/22/09 307217 Refund 90.00
Total 90.00
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.
Weber, Jennifer Allowed 20
3901 Crest Point Dr
Noblesville, IN 46062
In Sum of
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 307217 4358400 90.00 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
30 -Jul 2009
P&U
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund