172047 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362807 Page 1 of 1
0 4+ ONE CIVIC SQUARE TERRI SPILMAN CHECK AMOUNT: $15.00
CARMEL, INDIANA 46032 1964 WOODBINE Cr
'w CARMEL IN 46033 CHECK NUMBER: 172047
CHECK DATE: 4/2912009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER T AMOUNT DESCRIPTION
1047 43,58400 252277 15.00 REFUNDS.AWARDS INDE
1
ACTIVITY REFUND RECEIPT
Receipt 252277 s�
Payment Date: 04/22/2009 a �t, I
Household 25453
Home Phone: (317)450 -1196 A 2 4 J
Work Phone: 2��9
TERRI SPILMAN Monon Center
1984 WOODBINE CT Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 15.00
Enrollee Name: Grace Spilman Fees Tax Discount Prev Paid Cur Eaid Amount Due
Activity Number. 395141 -04 Adorable Updos 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 03/27/2009 (Cancelled)
Primary Instructor. CCPR Staff
Class Location: Program Room C Class Dates: 04/24/2009 to 04/24/2009
Monon Center 2:OOP to 2:45P
F
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Cancel Reason: instructor canceled
G/L 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 15.00 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 04/22/09 08:58:03 by CNA FEES CHANGED ON CANCELLED ITEMS 15.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 15.00
TOTAL AMOUNT REFUNDED 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference instructor canceled
Page 1
ACTIVITY REFUND RECEIPT
Receipt 252277
Payment Date: 04/22/2009
Household 25453
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
Aut6orized Signature Date Authorized Signature Date
y oa- ';5 q3 -58 yc)o
Page 4 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.
Spilman, Terri Terms
1984 Woodbine Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4122/09 252277 Refund 15.00
Total 15.00
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
��Fti
a
Voucher No. Warrant No.
Spilman, Terri Allowed 20
1984 Woodbine Ct
Carmel, IN 46033
In Sum of$
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 252277 4358400 15.00 l 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
27 -Apr 2009
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund