168757 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362484 Page 1 of 1
ONE CIVIC SQUARE CHRIS WU
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CARMEL, INDIANA 46032 14165 SKYLARK COURT CHECK AMOUNT: $125.00
CARMEL IN 46033 CHECK NUMBER: 168757
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 125.00 PARKS DEPARTMENT REFU
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ACTIVITY REFUND RECEIPT
Receipt 217189
Payment Date: 01/12/2009
Household 6996
Home Phone: (317)815 -9133
Work Phone:
CHRIS WU Monon Center
14165 SKYLARK CT. Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 125.00
Enrollee Name: Nicholas Wu Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395255 -01 Train the Brain 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01108/2009 (Cancelled)
Primary Instructor: Int Talent Academy
Class Location: Program Room C Class Dates: 01/15/2009 to 03/05/2009
Monon Center 11:30A to 12:15P
Th
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 8
Cancel Reason: low enrollment
G/L Cod Descri ption Account Num C Cntr Descri Ac count N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 125.00 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 01/12/09 13:57:04 by CNA FEES CHANGED ON CANCELLED ITEMS 125.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 125.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 125.00 Made By REFUND FINAN With Reference low enrollment
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ACTIVITY REFUND RECEIPT
Receipt 217189
Payment Date: 01/12/2009
Household 6996
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
b0c) -Duo CA)
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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.
Wu, Chris Terms
14165 Skylark Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/09 217189 Refund 125.00
Total 125.00
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.
Wu, Chris Allowed 20
14165 Skylark Ct
Carmel, IN 46033
In Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 217189 4358400 125.00 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
2 -Feb 2009
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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