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HomeMy WebLinkAbout181296 01/13/2010 f CITY OF CARMEL, INDIANA VENDOR: 363763 Page 1 of 1 d. ONE CIVIC SQUARE DOROTHY LONCAR CARMEL, INDIANA 46032 1990 HILL VALLEY COURT CHECK AMOUNT: $40.00 \s I. -.c, o INDIANAPOLIS IN CHECK NUMBER: 181296 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 40.00 REFUND 1 PASS REFUND RECEIPT Receipt 370759 Payment Date: 01/04/10 Household 16595 7 Monon Center Dorothy Loncar Hm Ph: (317)843 -2598 Carmel IN 46032 1990 Hill Valley Court Wk Ph: (317)846 -6080 Indianapolis IN 46280 Cell Ph:(317)258 -6085 dkloncar @yahoo.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 40.00 Pass Holder: Ronald Loncar Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: FIT Adlt Mnthly (M FTAM), #22189 160.00 0.00 0.00 160.00 11,00 Valid Dates: 02/27/2009 to 03/15/2010 Pass Cancellation) Cancel Reason: cancel'd via phone Nov 09. GfL Code- Description_ Account Number Cst Cntr De.cdptl_on___.__- Account Number.__.___,__, _�.Ameynt 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 40.00 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 an 01/04/10 13:12:55 by TLP FEES CHANGED ON CANCELLED ITEMS 200.00 SURCHARGE APPLIED AGAINST CANCELLED FEES 160.00 1 NE74 AMOUNT .:F:ROM.QANCELLEO'ITEMS:':: '':40.00.'..1 ['.TOTAL'AMOUNTREEUNDED 5'40.00:` 1 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 40.00 Made By FUND FtI N�' r ith Refer Oe X'd viz phone Nov 09 i 1 All refunds are subject to Scat o oard� f counts clai pro dare and may take 4 -6 weeks to process. A check will be sued j is aS�oc credi -t dar f I cf r-fund �X j togi r thorized Sign it, Dat Authorized Signature Date (1----7' ---4 L t 7 tOg 4 4 C -f k,` -B '3k02_ atAA& ki c)__ AD t c'._._... DO a i.,� h JAI 05 2010 Page 1 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. Loncar, Dorothy Terms 1990 Hill Valley Court Date Due Indianapolis, IN 46280 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/4/10 370759 Refund 40.00 Total 40.00 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 Cleric- Treasurer Voucher No. Warrant No. Lancer, Dorothy Allowed 20 1990 Hill Valley Court Indianapolis, IN 46280 In Sum of 40.00 ON ACCOUNT OF APPROPRIATION FOR 40 o.. fam _f IC PO# or Board Members INVOICE NO. ACCT #fTITLE AMOUNT Dept -lee--- 370759 4358400 40.00 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 7 -Jan 2010 Signature 40.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund