HomeMy WebLinkAbout182306 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 363887 Page 1 of 1
ONE CIVIC SQUARE CHRIS COMMONS
CARMEL, INDIANA 46032 3871 CARWINION WAY CHECK AMOUNT: $231.30
y ;iac CARMEL 1N 46032 CHECK NUMBER: 182306
CHECK DATE: 2/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 381027 231.30 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 381027
Payment Date: 01/27/10
Household 4481
Morton Center Chris Commons Hm Ph: (317)471 -0253
Carmel IN 46032 3871 Carwinion Way Wk Ph: (317)409 -2601
Carmel IN 46032 Cell Ph:
ccommons @escient.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 231.30
Pass Holder: Allie Commons Fees +Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: UnGrpFit Annual (M UGFA), #40526 43.70 0.00 43.70 0,00 0.00
Valid Dates: 11/30/2009 to 11/30/2010 Pass Cancellation)
'S
Cancel Reason: whole gym pass /fitness 1
GIL Code Descri Account Number Cst Cntr Description Account Number Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 231.30 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 01/27/10 06:31:14 by RDG FEES CHANGED ON CANCELLED ITEMS 231.30
NET'AMOUNT,FROMcCANCELLED °ITEMS 1.23130
TOTALAMOUNT °REFUNDED§ Z 231:30
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 231.30 Made By e ith Reference
All refunds are s ect to ate oclaim procedure and may take 4 6 weeks to process. A check will be
issued. or credi ar refu Authorized Signature Authorized Signature Date
G,6
Page 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.
Commons, Chris Terms
3871 Carwinion Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1127110 381027 Refund 231.30
Total 231.30
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
Clerk- Treasurer
Voucher No. Warrant No.
Commons, Chris Allowed 20
3871 Carwinion Way
Carmel, IN 46032
In Sum of
231.30
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT#rrITLE AMOUNT Board Members
Dept
1092 381027 4358400 231.30 1 hereby certify that the attached invoice(s), or
billfs) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
11 -Feb 2010
Signature
231.30 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund