169510 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362607 Page 1 of 1
0 ONE CIVIC SQUARE NICOLE LAW
CARMEL, INDIANA 46032 3678 POWER PLACE CHECK AMOUNT: $8.00
CARMEL IN 46033
CHECK NUMBER: 169510
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 226210 8.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 2262111
Payment Date: 'i'02/08/2009
Household 6256
Home 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 435- 6000972
Enrollment Details
CANCELLATION Refund Of 8.00
Enrollee Name: Paxton Law Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 395130 -01 Sound Bingo 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 01/21/2009 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Program Room C Class Dates: 02/09/2009 to 02/09/2009
Monon Center 11:00A to 11:30A
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 8.00 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 02/08/09 20:39:48 by CNA FEES CHANGED ON CANCELLED ITEMS 8.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT- FROM:: CANCELLED ITEMS 8.00
TOTAL AMOUNT REFUNDED 8.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 8.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 226210
Payment Date: 0210$12009
Y Household 6256
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
ewa&�J W-X�. a- !C� oq Tt� n�r l
AutKorized Signature Date Authorized Signature Date
C f c. g�
Page 4 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to'be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Law, Nicole Terms
3678 Power Place Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
218/09 226210 Refund 8.0o
Total 8.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20_
Clerk- Treasurer
Voucher No. Warrant No.
Law, Nicole Allowed 20
3678 Power Place
Carmel, IN 46033
In Sum of$
t>'
8.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept
1047 226210 4358400 8.00 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
26 -Feb 2009
Apjllmv
Signature
8.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund