HomeMy WebLinkAbout187037 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364264 Page 1 of 1
ONE CIVIC SQUARE TED SPURGEON
CARMEL, INDIANA 46032 11764 SWEEPING RIDGE DR CHECK AMOUNT: $70.50
ZIONSVILLE IN 46077
CHECK NUMBER: 187037
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 435492 70.50 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 435492
Payment Date: 06/08/10
Household 16436
Monon Community Center Ted Spurgeon Hm Ph: (317)341 -2544
Carmel IN 46032 11764 Sweeping Ridge Dr Wk Ph: (317)341 -2544
Zionsville IN 46077 Cell Ph:
tanyaspurgeon @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 70.50
Pass Holder: Nicholas Spurgeon Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: KZ 50 Visit (M Z50), #30468 4.50 0.00 4.50 0.00 0.00
Valid Dates: 07/12/2008 to 12/31/2099 Pass Cancellation)
Pass Visit Info: Number of Visits: 47
Cancel Reason: pro-rated request
G/L Code Descri Account Number Description Account_ Number_ Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 70.50 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 06/08/10 10:35:48 by LVA FEES CHANGED ON CANCELLED ITEMS 70.50
NET AMOUNT FROM CANCELLED ITEMS 70.50
TOTAL AMOUNT REFUNDED 70.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 70.50 Made By REFUND FINAN With Reference pro -rated request
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue cash or credit rd refunds.
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Authorized Sign a Date Authoriz d Signature Date
09 JUN IL 0 1010
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ACCOUNTS PAYABLE VOUCHER
v 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.
Spurgeon, Ted Terms
11764 Sweeping Ridge Dr Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
618110 435492 Refund 70.50
Total 70.50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 1C 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Spurgeon, Ted Allowed 20
11764 Sweeping Ridge Dr
Zionsville, IN 46077
In Sum of
\a
70.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -41 435492 4358400 70.50 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
70.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund