173533 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362908 Page 1 of 1
ONE CIVIC SQUARE ELLEN SANDERS CHECK AMOUNT: $109.00
CARMEL, INDIANA 46032 9120 BRYANT LN
APT 3B CHECK NUMBER: 173533
INDIANAPOLIS IN 46250 CHECK DATE: 6/10/2009
DEPA ACCOUNT PO NUMBER INVO NUM AMOUNT DESCRIPTION
1047 4358400 109.00 REFUNDS AWARDS INDE
C.`r
ACTIVITY REFUND RECEIPT
f
l
Receipt 262386
Payment Date: 05/22/2009
Household 26238
Home Phone: (317)833 -6190
Work Phone:
MAY 2 6 7009
ELLEN SANDERS Monon Center BY:
9120 BRYANT LN APT 3B Carmel IN 46032
INDIANAPOLIS IN 46250
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 109.00
Enrollee Name: Dylan Sanders Fees Tax Discount Prev Paid Cur Paid 8mount Qjje
Activity Number. 195155 -01 Kindermusik Busy D 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/27/2009 (Cancelled)
Primary Instructor. Kindermusik
Class Location: Program Room C Class Dates: 05129/2009 to 06/26/2009
Monon Center 9:3OA to 10:15A
F
Carmel, IN 46032 Scheduled Sessions: 5
(317)848-7275
Cancel Reason: low enrollment
GIL Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL ConW Account (AP) Enter Control Acct here 109.00 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 05/22/09 17 :49:48 by CNA FEES CHANGED ON CANCELLED ITEMS 109.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES OM
NET AMOUNT FROM CANCELLED ITEMS.109.00-
TOTAL AMOUNT REFUNDED 109.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 109.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 262386
Payment Date: 05/22/2009
Household 26238
All refunds are subject to State Board of Accounts claim procedure and may take 4 weeks to process. A check will be
issued. No cash or credit card refunds.
e o9 �T�c,r 5 col D9
Au orized Signature Date Authorized Signature Date
i
GCS. 3 ,2o_ y'35 1 4 G 0
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.
Sanders, Ellen Terms
9120 Bryant Ln Apt 3B Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5122109 262386 Refund 109.00
Total 109.00
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.
Sanders, Ellen Allowed 20
9120 Bryant Ln Apt 3B
Indianapolis, IN 46250
In Sum of
109.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 262386 4358400 109.00 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
4 -Jun 2009
Signature
109.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund