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
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-.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
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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
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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.
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