185765 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364146 Page 1 of 1
Q� ONE CIVIC SQUARE LINDA HARDCASTLE
CARMEL, INDIANA 46032 200 HARMONY ROAD CHECK AMOUNT: $35.00
ti oq o CARMEL IN 45032 CHECK NUMBER: 185765
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 424312 35.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 424312
Payment Date: 05/20/10
Household 3903
Carmel Clay Parks Recreation q W Hardcastle Hm Ph: (317)581 -9891
1235 Central Park Drive East 200 Harmony Road Wk Ph: (317)
Carmel IN 46032 Carmel IN 46032 Cell Ph:
thinktondem @mac.com
Phone: (317)848 -7275
Fed-Tax iD #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 35.00
Pass Holder: Linda Hardcastle Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: MC Adlt Mthly (M MCAM), #16540 204.00 0.00 204.00 0.00 0.00
Valid Dates: 11/11/2009 to 11/21/2010 Pass Change)
G/L 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 35.00 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 on 09:25:19 by ABK FEES ADJUSTED ON CHANGED ITEMS 35.00
x4NET�AM�OUNT�FROM °CHANGSdD- ITEMS_, 35.00
TOTAL- AMOUNT;REFUNDED 35.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference Susp Pass Reqested
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.
Author' ed Sig toe Date Authorized Signature Date
9-'3 y�� s
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.
Hardcastle, Linda Terms
200 Harmony Road
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/20/10 424312 Refund 35.00
Total 35.00
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_
Clerk- Treasurer
Voucher No. Warrant No.
Hardcastle, Linda Allowed 20
200 Harmony Road
Carmel, IN 46032
In Sum of$
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 424312 4358400 35.00 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
20 -May 2010
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund