HomeMy WebLinkAbout161713 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 357493 Page 1 of 1
ONE CIVIC SQUARE SHANNON ARNETT CHECK AMOUNT: $87.00
CARMEL, INDIANA 46032 1909 E 116TH ST
CARMEL IN 46032 CHECK NUMBER: 161713
CHECK DATE: 7/23/2008
D EPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 87.00 PARKS DEPARTMENT REFU
4
I
PASS REFUND RECEIPT
CFIVED
Receipt 146984
Payment Date: 07/08/2008 JUL 0 9 2008
Household 13
Home Phone: (317)7)
844 -7710 G
Work Phone: (317)846 -6042 b
SHANNON ARNETT Monon Center
1909 E 116TH STREET Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 87.00
Pass Holder: Shannon Arnett Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly HH R (PRMYRHHR), #16341 696.00 0.00 0.00 696.00 0.00
Valid Dates: 11/15/2007 to 11/15/2008 Pass Cancellation)
Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee
Prem Yrly HH Res 696.00 1.00 0.00 0.00 696.00
Cancel Reason: Moving
CANCELLATION
Pass Holder: Michael Arnett Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr HH Add R (PRMHHADR), #16342 0.00 0.00 0.00 0.00 0.00
Valid Dates: 11/15/2007 to 11/15/2008 Pass Cancellation)
Cancel Reason: Moving
CANCELLATION
Pass Holder: Ryan Arnett Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr HH Add R (PRMHHADR), #16343 0.00 0.00 0.00 0.00 0.00
Valid Dates: 11/15/2007 to 11/15/2008 Pass Cancellation)
Cancel Reason: Moving
CANCELLATION
Pass Holder: Dakota Novak Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr HH Add R (PRMHHADR), #16344 0.00 0.00 0.00 0.00 0.00
Valid Dates: 11/15/2007 to 11/15/2008 Pass Cancellation)
Cancel Reason: Moving
Page 1
PASS REFUND RECEIPT
Receipt 146984
Payment Date: 07/08/08 L09
Household 13637
3 �,t�
CANCELLATION
Pass Holder: Rachel Arnett Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr HH Add R (PRMHHADR), #16345 0.00 0.00 0.00 0.00 0.00
Valid Dates: 11/15/2007 to 11/15/2008 Pass Cancellation)
Cancel Reason: Moving
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 87.00 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 07/08/08 15:53:42 by EDR FEES CHANGED ON CANCELLED ITEMS 783.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 696.00
NET AMOUNT 'FROM'CANCELEED'ITEMS' "87.00
TOTAL AMOUNT REFUNDED 87.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 87.00 Made By REFUND FINAN With Reference
All jefunds are State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
--isd. No h or cre It card refunds.
Authorized Sig ature Date Authorized Signature Date
Page #2
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.
Terms
Arnett, Shannon
Date Due
1909 E 116th Street
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
87.00
7/8/08 146984 Refund
Total 87.00
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.
Arnett, Shannon Allowed 20
1909 E 116th Street
Carmel, IN 46032
In Sum of
87.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 146984 4358400 87.00 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
eceived except
18 -Jul 2008
Signature
87.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund