HomeMy WebLinkAbout165116 10/29/2008 a mac•. CITY OF CARMEL, INDIANA VENDOR: T362034 Page 1 of 1
ONE CIVIC SQUARE CHRISTOPHER ALLEN CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032 1154 W 116TH ST
CARMEL IN 46032 CHECK NUMBER: 165116
CHECK DATE: 10/29/2008
6EPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 189387 20.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt# 189837 T`i.�VTt`��
Payment Date: 09/23/2008
Household 19917 OCT 1 4 2008
Home Phone: (317)575 -8334
Work Phone: (317)418 -4841
CHRISTOPHER ALLEN Monon Center
1154 W. 116TH ST. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 20.00
Pass Holder: Christopher Allen Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #29490 32.00 0.00 32.00 0.00 0.00
Valid Dates: 06/28/2008 to 06/28/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count D iscount Sales Tax Total Fee
Yearly Fitness Adult 32.00 1.00 0.00 0.00 32.00
Cancel Reason: Lost paperwork... was supposed to be cancelled last month.
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 20.00 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 8.00
Processed on 09123/08 14:11:43 by EMB FEES CHANGED CNI CANCELLED ITEMS 28.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET_AMOUNT :CANCEL L`- ED:ITEMS- :,x;:.28.00:
HH BALANCE APPLIED TO THIS RECEIPT 8.00
TOTAG=AMOUNTAEFUNDED 20.00,E
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference Chris Allen
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 cred't card refunds.
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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.
Allen, Christopher Terms
1154 W 116th St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/23/08 189387 Refund 20.00
Total 20.00
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.
Allen, Christopher Allowed 20
1154W 116th St
Carmel, IN 46032
In Sum of
ar;
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #lrITLE AMOUNT Board Members
Dept
1047 189387, 4358400 20.00 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
14 -Oct 2008
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund