169220 02/17/2009 F CITY OF CARMEL, INDIANA VENDOR: T362573 Page 1 of 1
ONE CIVIC SQUARE YALI ZHANG
O t 3845 EARHART DR CHECK AMOUNT: $58.00
CARMEL, INDIANA 46032
WESTFIELD IN 46074 CHECK NUMBER: 169220
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 214335 58.00 REFUNDS AWARDS INDE
"5
v� ACTIVITY REFUND RECEIPT
Receipt 214335
Payment Date: 01/03/2009
Household 23039
Home Phone: (617)835 -5328
Work Phone:
YALI ZHANG Morton Center
3845 EARHART DR Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 58.00
Enrollee Name: Julia Dong Fees +Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 393003 -09 Guppy 7.00 0.00 0.00 7.00 0.00
Enrollment Date: 12108/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Indr Leisure Pool 3 Class Dates: 01/12/2009 to 02/11/2009
Monon Center 4:15P to 4:45P
M,W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 10
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
7.00 1.00 0.00 0.00 7.00
Cancel Reason: schedule conflict with another class
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 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 01103/09 09:10:31 by ARH 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 O 7.00
NET AMOUNT F..ROM;CANCELLED`.ITEMS'' 58.00 -1
.TOTAL MOUNTpREFLINDEl7
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 214335
Payment Date: 01/03/2009
Househotd 23039
R;) md of 58.00 Wade By REFUND FINAN With Reference
Ali 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.
Zhang, Yali Terms
3845 Earhart Dr Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
113109 214335 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 2 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Zhang, Yafi Allowed 20
3845 Earhart Dr
Westfield, IN 46074
In Sum of
58.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 214335 4358400 58.00 i 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
1
Signature
58.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund