HomeMy WebLinkAbout186978 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364263 Page 1 of 1
0 ONE CIVIC SQUARE JILL PENMAN CHECK AMOUNT: $39.00
CARMEL, INDIANA 46032 6115OSAGE DRIVE
CARMEL IN 46033 CHECK NUMBER: 186978
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 4358400 39.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 434559
Payment Date: 06/07/10
Household 2177
Monon Community Center Jill Penman Him Ph: (317)846 -7144
Carmel IN 46032 6115 Osage Drive Wk Ph: (317)842 -2525
Carmel IN 46033 Cell Ph: (317)910-0203
Phone: (317)848 -7275 thepenmans @sbcglobal.net
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 39.00
Pass Holder: Lauren Penman Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: 10 -Visit (ESE10V), #85248 91.00 0.00 91.00 0.00 0.00
Valid Dates: 08111/2009 to 05/27/2010 Pass Cancellation)
Pass Visit Info: Nu I s:
Cancel Reason 5th grader will no longer attend program
GIL Code Description Account N umber Cst Cntr Desc Accou Number Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 39.00 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 06/07/10 10:47:48 by JAB FEES CHANGED ON CANCELLED ITEMS 39.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 39.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 39.00 Made By REFUND FINAN With Reference check refund
All refunds are subj t':,to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is ed. cash or redit card refunds. ``,rt
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WI U
tithoriz d Signatu Date Authorized Signature Date
JUN 0 7.2010 V to v n
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.
Penman, Jill Terms
6115 Osage Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/7/10 434559 Refund 39.00
Total 39.00
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.
Penman, Jill Allowed 20
6115 Osage Drive
Carmel, IN 46033
In Sum of
39.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 434559 4358400 39.00 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
17 -Jun 2010
Signature
39.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund