178427 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363411 Page 1 of 1
ONE CIVIC SQUARE RANDY TRAN
z CARMEL, INDIANA 46032 504 WALBRIDGE STR CHECK AMOUNT: $12.00
CARMEL IN 46032
CHECK NUMBER: 178427
CHECK DATE: 1011412009
DEPAR ACCOUNT PO NUMBE INV NUMBER AMOUNT DESCRIP
X41047 4358400 342604 12.00 REFUNDS AWARDS INDE
i
ACTIVITY REFUND RECEIPT
-.7P--
Receipt 342604 i
PIyment Date: 10/06/2009 O C T 2�9
f I
H usehold 16108
Home Phone: (317)706 -0439
e
RANDY TRAM Monon Center
504 WALBRIDGE STIR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 12.00
Enrollee Name: Nha Tran Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 297045 -01 Financial Planning F 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 08/31/2009 (Cancelled)
Class Location: Banquet Room B Class Dates: 10/06/2009 to 10/13/2009
Monon Center 6:30P to 8:30P
Tu
Carmel, IN 46032 Scheduled Sessions: 2
(317)848 -7275
Cancel Reason: low enrollment
G 1L Code Description Account N Cst Cntr Description Acc ount Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 12.00 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 10/06/09 14:41:03 by MML FEES CHANGED ON CANCELLED ITEMS 12.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT'FROM CANCELLED ITEMS 12.00-
TOTAL AMOUNT REFUNDED 12:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 12.00 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. No cash or credit card refunds.
Page 1
ACTIVITY REFUND RECEIPT
Receipt 342604
Payment Date: 10/06/2009
Household 16108
A t o i d nature D to Authorized Signature Date
47 L100. 5 Z (Y 435 M
Page #2
ACCOUNTS PAYABLE VOUCHER
i 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.
Tran, Randy Terms
504 Walbridge Str Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1016109 342604 Refund 12.00
Total Is 12.00
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.
Tran, Randy Allowed 20
504 Walbridge Str
Carmel, IN 46032
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 342604 4358400 12.00 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
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund