HomeMy WebLinkAbout159230 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361219 Page 1 of 1
s 0 ONE CIVIC SQUARE BEVERLY BERTONI CHECK AMOUNT: $40.00
CARMEL, INDIANA 46032 3555 INVERNESS BLVD
4i,,b� ba CARMEL IN 46032 CHECK NUMBER: 159230
CHECK DATE: 5114/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
1047 4358400 112721 40.00 REFUNDS AWARDS INDE
I
I
1-
s
PASS REFUND RECEIPT
Receipt 112721
Payment Date: 05/02/2008
Household 9534
Home Phone: (317)873 -3471
Wor� Phone:
�i
&v Q4r Vnl Carmel Clay Parks Recreation
�5 �n�leYr�es� �tJie�/�t(� 1235 Central Park Drive East
Carmel IN 46032
CaVrn.�l �IIo03 a--
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 40.00
Pass Holder: Vanessa Bertoni Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Vu FT Alt Res10 (VFTAR10), #22867 0.00 0.00 0.00 0.00 0.00
Valid Dates: 04/03/2008 to 12/31/2099 Pass Cancellation)
Pass Visit Info: Number of Visits: 8
Cancel Reason: Wrong person
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 05/02/08 12:21:49 by LVA FEES CHANGED ON CANCELLED ITEMS 40.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
-NET AMOUNT FROM CANCELLED ITEMS' 40.00-
TOTAL.AMOUNT'REFUNDED 40:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By JOURNAL -RF With Reference
All re unds are s ectto)State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
I ed. No or 4cr {card refunds.
Authors d Signa Date Authorized Signature g �Date
RECEIVED
MAY 0 5 2008
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
'1 Purchase Order No.
Beverly Bertoni Terms
3555 Inverness Boulevard Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/08 112721 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Beverly Bertoni Allowed 20
3555 Inverness Boulevard
Carmel, IN 46032
In Sum of
40.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 112721 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
13 -May 2008
Sig ure
40.00 Business Se ices Oanager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund