HomeMy WebLinkAbout240036 12/09/14 �"MFf CITY OF CARMEL, INDIANA VENDOR: 368914
ONE CIVIC SQUARE RODNEY LANCE CHECK AMOUNT: $********20.00*
CARMEL, INDIANA 46032 262 MEADOW LANE#2 CHECK NUMBER: 240036
CARMEL IN 46032 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 20.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt# 1372116r[ � [.ay
Payment Date: 11/28/2014
Household #: 36932 �' � f' It3f1
Home Phone: (574)315-9945 �`F��r �-�I
Work Phone: (317)776-2550
DEC - 2 2014 1
I ,
RODNEY LANCE Monon Community Center
262 MEADOW LN.,#2 Carmel IN 46032
CARMEL IN 46032
Phone: (317)848-7275
Fed Tax ID#35-6000972
Pass Details
CANCELLATION -Refund Of 20.00
Pass Holder: Rodney Lance Fees+Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: UnGpFt MCAYSMIy(M UGFTMM), #191958 40.00 0.00 40.00 0.00 0.00
Valid Dates: 08/17/2014 to 08/16/2015 (Pass Cancellation)
Cancellation Effective: 11/28/2014
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
nFitness Prog Passes 40.00 1.00 0.00 0.00 40.00
Cancel Reason: Staff Error. SHould have been cancelled last month.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 11/28/14 @ 13:01:31 by MNS FEES CHANGED ON CANCELLED ITEMS(+) 20.00-
DISCOUNT APPLIED AGAINST CANCELLED FEES(-) 0.00
SALES TAX CHARGED ON CANCELLED FEES(+) 0.00
NET AMOUNT-FROM CANCELLED ITEMS
[TOTAL AMOUNT REFUNDED: : 20.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 20.00 Made By=_>REFUND FINAN With Reference=_>Staff Error
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
A t ariKed Signature Date Authorized Signature Date
Escape Day Passes are no -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.
Lance, Rodney Terms
262 Meadow Ln#2 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/14 1372116 Refund $ 20.00
77177 Total Is 20.00
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.
i
Lance, Rodney Al4owed 20
262 Meadow Ln#2
Carmel, IN 46032
lrL Sum of$
$ 20.00 _II�
I.
ON ACCOUNT OF APPROPRIATION FOR is
109 -MCC I:
1
PO#
or Board Members
Deptept# INVOICE NO. ACCT#/TITL AMOUNT j
1092 1372116 4358400 $ 20.00 i! 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
3-Dec 2014
Signature
$ 20.00 j Accounts Payable Coordinator
Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund
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