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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