179428 11/11/2009 CITY:OF CARMEL, INDIANA VENDOR: 363075 Page 1 of 1
ONE dIVIC SQUARE MATT TANNER
CHECK AMOUNT: $155.00
CARMEL, INDIANA 46032 4620 BUCKINGHAM COURT
'4 'igg ox �u CARMEL IN 46033 CHECK NUMBER: 179428
CHECK DATE: 1111112009
DEPARTMENT A CCOUNT PO NUM INVO NUMBER AMOUNT DESCRIPTION
1047 4358400 348173 45.00 REFUNDS AWARDS INDE
1047 4358400 349017 110.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 348173
Payment Date: 10/23/09
Household 17370
Morton Center Matt Tanner Hm Ph: (317)816 -0611
Carmel IN 46032 4620 Buckingham Ct
OC T
7 2009 Carmel IN 46033 Cell Ph:
matt @mtanner.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972 1.
Enrollment Details
CANCELLATION Refund Of 45.00
Enrollee Name: Daniel Tanner Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 296289 02 World Rhythm Dance 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/04/2009 (Cancelled)
Class Location- Program Room B Class Dates: 10/27/2009 to 12/08/2009
Monon Center 5:OOP to 5:45P
Tu
Carmel IN 46032 Scheduled Sessions: 6
(317)848 -7275
Skip Days 11/24/2009
Cancel Reason: low enrollment
GILCode_ De Ac Number___. Cs_t_Cntr__ Description Accoun Number
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 45.00 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 10(23109 05:13:14 by LVA FEES CHANGED ON CANCELLED ITEMS 45.00
NET AMOUNT FROM CANCELLED ITEMS 45.00
TOTAL AMOUNT REFUNDED 45.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 45.00 Made By REFUND FINAN With Reference low enrollment
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.
Authorized Sin lure Date Authorized Signature Date
L G, [f w�
t,q qoo WWao
Page 4 1
ACTIVITY REFUND RECEIPT
Receipt 349017
Payment Date: 10/27/09
Household 17370
Monon Center Matt Tanner Hm Ph: (317)816 -0611
Carmel IN 46032 4620 Buckingham Ct
Carmel IN 46033 Cell Ph:
matt @mtanner.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 110.00
Enrollee Name: Daniel Tanner Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 296372 -02 Dancing Little Star 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 0811812009 (Cancelled)
Primary Instructor. Int Talent Academy
Class Location. Fitness Studio B class Dates: 10/30/2009 to 12/18/2009
Monon Center 4:00P to 4:45P
F
Carmel, IN 46032 Scheduled Sessions: 7 y r77 397
(317)848 -7275
Skip Days 11/27/2009
a NOV 0 2 2009
Cancel Reason: low enrollment t1�
OT
G/L Code Description Account Number Cst_Cnt_r D Acc Numb _Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 110.00 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 10127/09 17:16:58 by LVA FEES CHANGED ON CANCELLED ITEMS 110.00
NET AMOUNT FROM CANCELLED ITEMS 110.00
TOTAL AMOUNT REFUNDED 110.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 110.00 Made By REFUND FINAN With Reference low enrollment
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue o cash or credit card refunds.
Authorized Signat e Dat Authorized Signature Date
vo q�_c ao
U J �QCt��
Page 9 1
r ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of gill 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.
Tanner, Matt Terms
4620 Buckingham Ct Date Due
Cannel, I N 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/23/09 348173 Refund 45.00
10/23/02 349017 Refund 110.00
Total 155.00
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- 14 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Tanner, Matt Allowed 20
4620 Buckingham Ct
Carmel, IN 46033
In Sum of
165.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 348173 4358400 45.00 1 hereby certify that the attached invoice(s), or
1047 349017 4358400 110.00 bil!(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
155.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund