172445 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362853 Page 1 of 1
ONE CIVIC SQUARE YITING MI
CARMEL, INDIANA 46032 5352 IVY HILL DR CHECK AMOUNT: $45.00
CARMEL IN 46032 CHECK NUMBER: 172445
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 255475 45.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT U'A
MAY 5 )009
Ne ceipt 255475
Vyment Date: 05/04/2009
Household 3554 BY:
Home Phone: (317)569 -0382
Work Phone: (317)817 -5539
YITING MI Monon Center
5352 IVY HILL DR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 45.00
Enrollee Name: Kevin Mi Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 397600 -01 Table Tennis Tournam 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 04/23/2009 (Cancelled)
Class Location: Gymnasium C Class Dates: 05/09/2009 to 05/09/2009
Monon Center 8:OOA to 7:00P
Sa
Carmel, IN 46032 Scheduled Sessions: 1
(317)848 -7275
Add'I Locations: Gymnasium B Class Dates: 05/09/2009
Monon Center Meeting Times (Sa) 8:OOA to 7:00P
Carmel, IN 46032
3178487275
Add'] Locations: Gymnasium C Class Dates: 05/09/2009
Monon Center Meeting Times (Sa) 8:OOA to 7:OOP
Carmel, IN 46032
3178487275
cancel Reason: low enrollment
Gf!_ Code_ Description_ Account Number Cst Cntr Description Accou Num Amo unt
999999 Control Account (AP) Enter Control Accl 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 05/04/09 11:04:20 by MML FEES CHANGED ON CANCELLED ITEMS 45.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 45.00
TOTAL AMOUNT REFUNDED 45.00
Page 1
ACTIVITY REFUND RECEIPT
Receipt 255475
Payment Date: 05/04/2009
Household 3554
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. No cash or credit card refunds.
A ia-
Authorized Signature to Authorized Signature Date
474N)- X06el�
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.
Mi, Yiting Terms
5352 Ivy Hill Dr Date Due
Carmel, IN 46032
Invoice Invoice Dription
Date Number
o nvo ices) or bill(s)) Amount
45.Q0
514109 255475 Refund
Total 45.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Mi, Yiting Allowed 20
5352 Ivy Hill Dr
Carmel, IN 46032
In Sum of
45.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO## or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1047 255475 4358400 45.00 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 -May 2009
Signature
45.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund