178399 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363410 Page 1 of 1
ONE CIVIC SQUARE ARNOLD SPILLY
CARMEL, INDIANA 46032 11980 PEBBLEPOINTE PASS CHECK AMOUNT: $25.00
CARMEL IN 46033 CHECK NUMBER: 178399
CHECK DATE: 1011412009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 342605 25.00 REFUNDS AWARDS INDE
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i
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ACTIVITY REFUND RECEIPT
Receipt 342605
Payment Date: 1010612009
Household 16886 a 7 2009
Home Phone: (317)846 -6089
ARNOLD SPILLY Monon Center
11980 PEBBLEPOINTE PASS Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 25.00
Enrollee Name: Milliecent Spilly Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 297012 -02 Genealogy Finding Fa 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08114/2009 (Cancelled)
Primary Instructor: Sue Dillon
Class Location: Computer Lab Class Dates: 10/01/2009 to 10/29/2009
Monon Center 9:30A to 11:30A
Th
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 Control Account (AP) Enter Control Acct here 25.00 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 10106/09 14:42:28 by MML FEES CHANGED ON CANCELLED ITEMS 25.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 25.00-
TOTAL AMOUNT REFUNDED 25.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 25.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 342605
Payment Date: 10/06/2009
Household 16886
All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue ca or edit and refunds.
1 01 710 c l
Au o z d tignature D to Authorized Signature Date
4 7 Li -3581&
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.
Spilly, Arnold Terms
11980 Pebblepointe Pass Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/6/09 342605 Refund 25.00
Total 25.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Spilly, Arnold Allowed 20
11980 Pebblepointe Pass
Carmel, IN 46033
In Sum of
25.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 342605 4358400 25.00 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
7 -Oct 2009
Signature
25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund