HomeMy WebLinkAbout180957 12/30/2009 r 7, CITY OF CARMEL, INDIANA VENDOR: 363725 Page 1 of 1
0 ONE CIVIC SQUARE MELISSA SHEPARD CHECK AMOUNT: $120.00
k;: li CARMEL, INDIANA 46032 7825 HARCOURT SPRINGS COURT
c i,le r INDIANAPOLIS IN 46260 CHECK NUMBER: 180957
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 120.00 REFUNDS AWARDS INDE
14
GLOBAL REFUND RECEIPT
1J1/ i,, Receipt 366284
lea S' frinec-vu r o f, .S Payment Date: 12/21/09
Household 18264
Can el Clay Parks Recreation Melissa Shepard Hm Ph: (765)491 -6593
1235 Central Park Drive East Wk Ph: (317)
Carmel IN 46032 f O Cell Ph: (317)
mshepard @purdue.edu
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 120.00
Pass Holder: Melissa Shepard Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: FIT Adlt Mnthly (M FTAM), #24917 120.00 0.00 120.00 0.00 0.00
Valid Dates: 05/02/2009 to 05/14/2010 Pass Change)
G/L Code Description Account Number Cst Gntr Description Account Number Amount
999999 Control Account(AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 120.00 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 12/21/09 16:48:04 by ABK FEES ADJUSTED ON CHANGED ITEMS 120.00
I NET`AMQUNT FROM'CHANGED: ITEMS: 120.00
Ic1TOTAL=AMOUNTw'REF,UNDED 120.00, 1
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 120.00 Mad y REFUND FINAN With Reference NR fee chgd in error
All refunds are subject to of Accounts claim procedure and may e.4 6 weeks to process. A check will be
issued. No cash or credit card refunds.
1- °lib /2/ J A
Authorized Sign (ure Date Authorized Signature Date
1 -7
DDC 2 1 2009
Iii.: ...............u.......
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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.
Shepard, Melissa Terms
7825 Harcourt Springs Ct. Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/21/09 366284 Refund 120.00
Total 120.00
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.
Shepard, Melissa Allowed 20
7825 Harcourt Springs Ct.
Indianapolis, IN 46260
In Sum of$
120.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
INVOICE NO. ACCT #!TITLE AMOUNT I
Dept
1047 366284 4358400 120.00 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
23 -Dec 2009
4 4 i JJId/
Signature
120.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund