179312 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363554 Page 1 of 1
o ONE CIVIC SQUARE JILL MADINGER
f CARMEL, INDIANA 46032 3698 POWER PLACE CHECK AMOUNT: $54.00
CARMEL IN 46032 CHECK NUMBER: 179312
CHECK DATE: 11/11/2009
(D EPARTMENT ACCOUNT PO NU MBER INVOICE NU MBER AMOUNT DESCRIPTION
046 4358400 348674 54.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 348674 f r
Payment Date: 10/26/2009 7
Household 25494
Home Phone: (317)815 -8810
Work Phone: (317)508 -8545 OCT 7 2009
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JILL MADINGER Cherry Tree Elementa
3698 POWEK PLACE 13869 Hazel Dell Road
CAR IN 46032 Carmel IN 46033
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Enrollment Details
Enrollee Name: Ellen Madinger Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 476011 -02 School's Out Camp 42.00 0.00 0.00 42.00 0.00
Enrollment Date: 10/26/2009 (Enrolled Transfer from 476011 -01 (School's Out Camp))
Class Location: Prairie Trace Elem Class Dates: 10/21/2009 to 10/21/2009
Prairie Trace Elemen 7:OOA to 6:OOP
14200 North River Road W
Carmel, IN 46033 Scheduled Sessions. 1
(317)848 -7275
Fee Details: Fee Description Am ount Count Discount Sales Tax Total Fee
SOC Daily 42.00 1.00 0.00 0.00 42.00
G/L Code Descri Account Number Cst C ntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 54.00 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 10/26/09 10:29:09 by TLD FEES ADJUSTED ON CHANGED ITEMS 54.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
NET FROM/TO TRANSFER TAX 0.00
;NET °AMOUNT'FROM:CHANGED.ITEMS 4'454:00
I. TOTALAMOUNT:REFUNDED'`
NEW NET HOUSEHOLD BALANCE 0 0.00
Refund of 54.00 Made By REFUND FINAN With Reference
Payment of 4Z U6 Made By Activity Registration Credit Balance
Page 1
ACTIVITY REFUND RECEIPT
Receipt 348674
Payment Date: 10/26/2009
Household 25494
_i
All refutes are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. Eecl�'ill be
issue d. o cash or credit card refunds.
Z7 1d Signature Date Authorized Signature Date
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0 q �s
Ce
OCT 2 7 2009
I
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,
Madinger, Jill Terms
3698 Power Place Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/26/09 348674 Refund 54.00
Total 54.00
I 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.
Madinger, Jill Allowed 20
3698 Power Place
Carmel, IN 46032
In Sum of
54.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 348674 4358400 54.00 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
5 -Nov 2009
Signature
54.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund