173019 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362908 Page 1 of 1
ONE CIVIC SQUARE ELLEN SANDERS
CARMEL, INDIANA 46032 9120 BRYANT LN CHECK AMOUNT: $90.00
M; o: APT 3B CHECK NUMBER: 173019
INDIANAPOLIS IN 46250
CHECK DATE: 5127!2008
DEPARTMENT A CCOUNT P NUM BER IN VOIC E N UMBER AMOUNT DES CRIPTION
1047 4358400 256848 90.00 REFUNDS AWARDS TNDF
ACTIVITY REFUND RECEIPT
Receipt 256848 4
Payment Date: 05/08/2009
Household 26238 MAY 2 1 1009
Home Phone: (317)833 -6190
Work Phone:
L
ELLEN SANDERS Monon Center
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 90.00
Enrollee Name: Dylan Sanders Fees Tax Disoount Prev Paid Cur Paid Amount Due
Activity Number: 195156 -01 Gymboree Baby Play 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/27/2009 (Cancelled)
Primary Instructor: Gymboree
Class Location Program Room A Class Dates: 05/12/2009 to 06/16/2009
Monon Center 1:00P to 1:45P
Tu
Carmel, IN 46032 Scheduled Sessions: 6
(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 Control Aocxuuit (AP) Enter Control Acct here 90.00 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 whiten to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 05/08109 14:46:09 by CNA FEES CHANGED ON CANCELLED ITEMS 90.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 4.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 9fl.00-
TOTAL AMOUNT REFUNDED 90.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 90.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 256848
Payment Date: 05/0812003
Household 26238
All refunds are subject to State Board of Accounts claim procedure and may take 46 weeks to process. A check will be
issued. No cash or credit card refunds.
l 09 16�s J('r '5
Autho6zed Signature to Authorized Signature Date
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
518109 256848 Refund 90.00
Total 90.00
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
90.00
ON AC OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 256848 4358400 90.00 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
21 -May 2009
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund