179409 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363560 Page 1 of 1
ONE CIVIC SQUARE BRENDA SHIPP
CARMEL, INDIANA 46032 3596 INVERNESS BLVD CHECK AMOUNT: $112.00
CARMEL IN 46032
CHECK NUMBER: 179409
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 349371 112.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 349371
Payment Date: 10/29/09
Household 31393
Morton Center Brenda Shipp Hm Ph: (317)334 -1620
Carmel IN 46032 3596 Inverness Blvd
Carmel IN 46032 Cell Ph:
brendakshipp@yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 112.00
Enrollee Name: Brenda Shipp Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 297423 -01 Piano 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 10/2112009 (Cancelled)
Primary Instructor: Impromptu Music
Class Location: Program Room A Class Dates: 10/27/2009 to 12/08/2009
Monon Center 7:30P to 8:30P
F
Carmel, IN 46032 Scheduled Sessions: 6
(317)848 -7275
Skip Days 11/24/2009 1 NOV 0 2 2009
Cancel Reason: low enrollment
0
G/L Code Descri Account Number Cst Cntr Descrip Account Numb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 112.00 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 10129/09 11:3429 by MML FEES CHANGED ON CANCELLED ITEMS 112.00
NET AMOUNT FROM ITEMS TOTAL AMOUNT AMOUNT REFUNDED 112:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 112.00 Made By REFUND FINAN With Reference low enrollment
All refunds are s bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o or ciedit card refunds.
Authorize Signature Da (e Authorized Signature Date
7. qd0. 52 3 D 00
Page 1
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.
Shipp, Brenda Terms
3596 Inverness Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/09 349371 Refund 112.00
Total 112.00
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 -1.5
,20
Clerk- Treasurer
Voucher No. Warrant No.
Shipp, Brenda Allowed 20
3596 Inverness Blvd
Carmel, IN 46032
In Sum of
!tir
112.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 349371 4358400 112.00 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
112.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund