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182607 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 353899 Page 1 of 1 v ONE CIVIC SQUARE WILLIAM WILLS CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 11480 MONON FARMS LANE CARMEL iN 46032 CHECK NUMBER: 182607 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4358400 384605 200.00 REFUNDS AWARDS INDE FACILITY REFUND RECEIPT Receipt 384605 Payment Date: 02/05/10 Household 13498 Monon Center William Wills Hm Ph: (317)571 -9034 Carmel IN 46032 11480 Monon Farms Ln Carmel IN 46032 Cell Ph: bill @miplace.net Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Facility Reservation Details a CANCELLATION Refund Of 200.00 Facility: Monon Center, Banquet Room A FEB 1 12010 Reserv. Contact: William Wills, HM: (317)571 -9034 Reserv. Number: 11095 Status: Cancelled Purpose: Man Woman of the Year LLS By% Anticipated Count: 175 Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due 03/06/2010 Sat 6:30P to 9:30P 0.00 0.00 0.00 0.00 0.00 Cancel Reason: Per Betty Wills. Could not get event together financially. GIL Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 200.00 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 24.70 Processed on 02 /05 /10 09:58:01 by MCC FEES CHANGED ON CANCELLED ITEMS 210.00 SALES TAX CHARGED ON CANCELLED FEES 14.70- INET AMOUNT- FROMICANCELLEa ITEMS '.i 224:70 (�/i V r1 HH BALANCE APPLIED TO THIS RECEIPT 24.70 vv tT,OTAL- "AMOUNT;REFUNDED w l .u,,�- ,z 200 6z- -5 ©U- 35� 0 0 EW NET HOUSEHOLD BALANCE 0.00 Refund of 200.00 Made By REFUND FINAN With Reference cancelled event All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available, you will be invoiced for the current amount due. Please remit to our office within 10 days of the invoice date. Authorized Signature Dale Authorized Signature Date 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. Wills, William Terms 11480 Monon Farms Ln Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/5/10 384605 Refund 200.00 Total 200.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Wills, William Allowed 20 11480 Monon Farms Ln Carmel, IN 46032 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE N0. ACCT #!TITLE AMOUNT Board Members Dept 1095 -3 384605 4358400 200.00 1 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 11 -Feb 2010 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund