HomeMy WebLinkAbout182953 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363931 Page 1 of 1
ONE CIVIC SQUARE CHARLES PAIK CHECK AMOUNT: $128.23
CARMEL, INDIANA 46032 8990 PICKWICK
'op co INDIANAPOLIS IN 46260 CHECK NUMBER: 182953
CHECK DATE: 313/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 128.23 REFUND
PASS REFUND RECEIPT
Receipt 390108
Payment Date: 02/16/10
Household 27880
FED 1" R 201
Monon Center Charles Paik Hm Ph: (317)581 -1078
Carmel IN 46032 8990 Pickwick
]BY, Indianapolis IN 46260 Cell Ph: (317)654-0206
cpaik @hotmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 49.32
Pass Holder: Charles Paik Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: FIT Senr Mnthly (M FTSM), #71909 100.68 0.00 100.68 0.00 0.00
Valid Dates: 06/16/2009 to 06/16/2010 Pass Cancellation)
Cancel Reason: free membership at Lifestyle as a senior
C ANCELLATION Refund Of 78.91
Pass Holder: Kyung Sara Paik Fees Tax Discount Prev Paid Cur Paid Amount Die
Pass Type: FIT Adlt Mnthly (M FTAM), #71910 161.09 0.00 161.09 0.00 0.00
Valid Dates. 06/16/2009 to 06/16/2010 Pass Cancellation)
Cancel Reason- free membership at Lifestyle as a senior
G/L Code Descri Acco Number C st Cnt Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 128.23 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 76.00
Processed on 02/16/10 16:41:42 by MAK FEES CHANGED ON CANCELLED ITEMS 128.23-
NETAMOUNT'FROMICANCELLEDATEMS 3:12$x23=;-
z,TOTAL'AMOUNT REFUNDED,��?i �l r 128'23F'
NEW NET CREDIT HOUSEHOLD BALANCE 76.00
Refund of 128.23 Made By REFUND FINAN With Reference
All refunds are sub ect to Stata Board of/Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N .cash or credit /car refund
orized Signature ate Authorized Signature Date
L/
4 K�,)Gc,
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,
Paik, Charles Terms
8990 Pickwick Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/16110 390108 Refund 128.23
Total 128.23
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.
Paik, Charles Allowed 20
8990 Pickwick
Indianapolis, 'IN 46260
In Sum of
s
128.23
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1092 390108 4358400 128.23 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
25 -Feb 2010
Signature
128.23 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund