175161 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: T361082 Page 1 of 1
0 ONE CIVIC SQUARE ANN SWEET
CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 11510 RALSTON
r CARMEL IN 46032 CHECK NUMBER: 175161
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 50.00 PARKS DEPARTMENT REFU
�r
C
ACTIVITY REFUND RECEIPT
Receipt 292028
Payment Date: 07/01/2009
Household 4729
Home Phone: (317)846 -4425 JUL Q 7��9
Work Phone:
ANN SWEET Monon Center
11510 RALSTON Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 50.00
Enrollee Name: Julia Sweet Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 196370-03 Zumba Kids 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 05/17/2009 (Cancelled)
Primary Instructor: Tumble Time
Class Location: Dance Studio Class Dates: 07/09/2009 to 07/30/2009
Monon Center 4:OOP to 4:45P
Th
Carmel IN 46032 Scheduled Sessions: 4
(317)848 -7275
Cancel Reason: low enrollment
G/L Code Description Account Number Cst Cnlr Description_ Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 50.00 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 07/01/09 11:39:28 by LVA FEES CHANGED ON CANCELLED ITEMS 50.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 50.00
TOTAL AMOUNT REFUNDED 50.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 50.00 Made By REFUND FINAN With Reference low enrollment
Page 1
ACTIVITY REFUND RECEIPT
Receipt 292028
Payment Date: 07/01/2009
Household 4729
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
(,J�Authorized Sig ure Date Authorized Signature Date
X00 Ll,�0. g3SI qO C)
Low 9�,vot j r�.4
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.
Sweet, Ann Terms
11510 Ralston Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/09 292028 Refund 50.00
Total 50.00
I 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.
l Sweet, Ann Allowed 20
11510 Ralston
Carmel, IN 46032
In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 292028 4358400 50.00 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
16 -Jul 2009
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund