167794 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T361506 Page 1 of 1
ONE CIVIC SQUARE VIKRAM SINHA CHECK AMOUNT: $55.00
+l CARMEL, INDIANA 46032 3713 SHAFER CR
CARMEL IN 46033 CHECK NUMBER: 167794
CHECK DATE: 1/20/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 215986 55.00 REFUNDS AWARDS INDE
P%%& 1 1511 11 I1G r LIImL/ 1\G5✓GIr I
i
Receipt 215986
Payment Date: 01/07/2009
Household 11106
Home Phone: (317)571 -8749
Work Phone: JAN 1 2 Z00�
VIKRAM SINHA Monon Center
3713 SHAFER CIRCLE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 55.00
Enrollee Name: Ahana Sinha Fees Tax Discount Prey Paid Cur Paid Amon t D ue
Activity Number 395145 -01 Start Smart Sport De 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/23/2008 (Cancelled)
Primary Instructor: CCPR Staff
Class Location: Gymnasium C Class Dates: 01/14/2009 to 02/18/2009
Monon Center 1:OOP to 2:OOP
W
Carmel, IN 46032
(317)848 -7275 Scheduled Sessions: 6
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 55.00 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 01/07/09 17:20:39 by CNA FEES CHANGED ON CANCELLED ITEMS 55.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0,00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED
NEW NET HOUSEHOLD BALANCE
Refund of 55.00 Made By REFUND FINAN With Reference Clow nrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 275986
Payment Date: 01/07/2009
Household 11106
All refunds are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. check be
issued. No cash or credit card refunds.
:fdL go E C(
Authorized Signature Date Authorized Signature Date
Page 2
y -�)SG Soo. y358y (�dr +s) CA
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.
Sinha, Vikram Terms
3713 Shafer Circle Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
117109 215986 Refund 55.00
Total 55.00
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.
Sinha, Vikram Allowed 20
3713 Shafer Circle
Carmel, IN 46033
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1047 215986 4358400 55.00 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
15 -Jan 2009
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund