HomeMy WebLinkAbout230522 03/26/14 CITY OF CARMEL, INDIANA VENDOR: 368083
® ONE CIVIC SQUARE SARAH LUGAR CHECK AMOUNT: $********70.00*
CARMEL, INDIANA 46032 8391 N ILLINOIS CHECK NUMBER: 230522
9y,,ON INDIANAPOLIS IN 46260-2944 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 1222373 70.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1222373 1e
Payment Date: 03/14/2014
Household #: 14158 rks& CrEa ion
Home Phone: (317)708-3943
Work Phone: (317) -
SAR-A�-I' j
day LUGAR Monon Community Center MAR 14 2014
1 98C I W J�,DIg Carmel IN 46032
Com-4.6032 I � ,a is. IN Bly.
4 2�D Phone: (317)848-7275
Fed Tax ID #35-6000972
8944
Pass Details
CANCELLATION - Refund Of 70.00
Pass Holder: Brandon Lugar Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC Adlt Mthly (M MCAM), #190744 0.00 0.00 0.00 0.00 0.00
Valid Dates: 12/17/2013 to 12/16/2014 (Pass Cancellation)
Cancellation Effective: 03/14/2014
Pass Comments:
Cancel Reason: Brandon was being double charged for a membership. Refunding for January and February.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 03/14/14 @ 10:18:06 by DMLEONARD FEES CHANGED ON CANCELLED ITEMS(+) 70.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES( ) 0.00
SALES TAX CHARGED ON CANCELLED FEES(+) 0.00
NET AMOUNT FROM CANCELLED ITEMS 70:00-
TOTAL AMOUNT REFUNDED 70:00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 70.00 Made By==>REFUND FINAN With Reference=_>DML
All refunds are subject to State Board of Accounts procedures and may take 4-6 s process. No cash refunds will be
issued.
.� 3 I ql 1 N
Authorized Signature Date Auto i ed Sig ure bate
Escape Day Passes are non-refundable.
/ Page# 1 of 1
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.
Lugar, Sarah Terms
8391 N Illinois Date Due
Indianapolis, IN 46260-2944
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/14/14 1222373 Refund $ 70.00
Total $ 70.00
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.
Lugar, Sarah Allowed 20
8391 N Illinois
Indianapolis, IN 46260-2944
InSum of$
J
$ 70.00
ON ACCOUNT OF APPROPRIATION FOR
I
109 -MCC
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1092 1222373 4358400 $ 70.00 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
i
20-Mar 2014
Signature
$ 70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund