HomeMy WebLinkAbout186215 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 364227 Page 1 of 1
ONE CIVIC SQUARE SUSAN BOYD- JOHNSON
CARMEL, INDIANA 46032 541 HUNTER'S DRIVE W. UNIT D CHECK AMOUNT: $40.00
CARMEL 1N 46032
CHECK NUMBER: 186215
CHECK DATE: 6/912010
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 40.00 REFUND
.a
PASS REFUND RECEIPT
Receipt 427248
Payment Date: 05/28/10
Household 2629
Monon Center Susan Boyd- Johnson Hm Ph: (317)575 -9341
Carmel IN 46032 541 Hunter's Dr. W Wk Ph: (317)$46 -7721
Unit D Ext. 1126
Carmel IN 46032 Cell Ph: (317)410 -0250
'Phone: (317)848 -7275 sjohnsol @ccs.kl2.in.us
Fed Tax ID 435- 6000972
Pass Details
CANCELLATION Refund Of 40.00
Pass Holder: Emma Boyd Ryan Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type. 20 -Visit (ESE20V), #59284 40.00 0.00 40.00 0.00 0.00
Valid Dates 08/11/2009 to 05127/2010 Pass Cancellation)
Pass Visit Info: Number of Visits: 10
Cancel Reason: fifth grader will not use program next school year
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 40.00 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 05/28/10 08:46:13 by JAB FEES CHANGED ON CANCELLED ITEMS 40.00
NET AMOUNT FROM CANCELLED ITEMS 40,007
TOTAL AMOUNT REFUNDED 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
c h or credit card refunds.
Aut rize Signature Date Authorized Signature Date
,S UN 0 1 2010
V� t
1,� �a 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.
Boyd- Johnson, Susan Terms
541 Hunter's Dr. W, Unit D Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28110 427248 Refund 40.00
Total 40.00
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.
Boyd Johnson, Susan Allowed 20
541 Hunter's Dr. W, Unit D
Carmel, IN 46032
In Sum of$
40.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 427248 4358400 40.00 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
3 -Jun 2010
Signature
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund