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170033 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 362607 Page 1 of 1 s ONE CIVIC SQUARE NICOLE LAW CHECK AMOUNT: $18.00 CARMEL, INDIANA 46032 3678 POWER PLACE CARMEL IN 46033 CHECK NUMBER: 170033 CHECK DATE: 3/18/2009 DEPARTMERT A ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 18.00 REFUNDS AWARDS INDE I ACTIVITY REFUND RECEIPT Receipt 234643 TV TF, 1) Payment Date: 03/02/2009 Household 6256 MAR 12 2009 Horne Phone: (317)844 -3670 Work Phone: (317)902 -7504 NICOLE LAW Monon Center 3678 POWER PLACE Carmel IN 46032 CARMEL IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details CANCELLATION Refund Of 18.00 Enrollee Name: Paxton Law Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 395140 -01 Dr. Seuss Birthday 0.00 0.00 0.00 0.00 0.00 Enrollment Date: 01/06/2009 (Cancelled) Primary Instructor: CCPR Staff Class Location: Program Room C Class Dates: 03/02/2009 to 03/02/2009 Monon Center 1:00P to 1:45P M Carmel, IN 46032 (317)848 -7275 Scheduled Sessions: 1 Cancel Reason: low enrollment 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 18.00 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 03/02/09 14:21:31 by CNA FEES CHANGED ON CANCELLED ITEMS 18.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET-AMOUNT FROM CANCELLED- ITEMS. 18.00= TOTAL AMOUNT REFUNDED 18.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 18.00 Made By REFUND FINAN With Reference low enrollment Page 1 ACTIVITY REFUND RECEIPT Receipt 234643 Payment Date; 03/02/2009 Household M 6256 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. &g,t� I e2�s '2, AutWorized Signature Date Authorized Signature Date oo. CC) 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. Terms Law, Nicole Date Due 3678 Power Place Carmel, IN 46033 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1g.o0 312109 234643 Refund Total 18.00 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. Caw, Nicole Allowed 20 3678 Power Place Carmel, IN 46033 In Sum of 18.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 234643 4358400 18.00 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 12 -Mar 2009 Signature is 18.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund