HomeMy WebLinkAbout159801 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: T361290 Page 1 of 1
ONE CIVIC SQUARE DAVID B YARD CHECK AMOUNT: $419.52
CARMEL, INDIANA 46032
CARMEL IN 46033 CHECK NUMBER: 159801
ON
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 115186 419.52 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 115186 CEIV D
Payment Date: 05/13/2008
Household 1519 ny f, 2008
Home Phone: (317)848 -2175
Work Phone:
f DAVID BYARD Carmel Clay Parks Recreation
5256 CHEROKEE COURT 1235 Central Park Drive East
CARMEL IN 46033 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 209.76
Pass Holder: David Byard Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #22605 30.24 0.00 30.24 0.00 0.00
Valid Dates: 03/28/2008 to 03/2812009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 30.24 1.00 0.00 0.00 30.24
Cancel Reason: Too busy in the months ahead
CANCELLATION Refund Of 209.76
Pass Holder: Renee Byard Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #22606 30.24 0.00 30.24 0.00 0.00
Valid Dates: 03/28/2008 to 03/28/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 30.24 1.00 0.00 0.00 30.24
Cancel Reason. Too busy in the months ahead
GIL 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 419.52 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 05113108 11:55:05 by LVA FEES CHANGED ON CANCELLED ITEMS 419.52
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 419.52
TOTAL REFUNDED 419.52..
Page 1
PASS REFUND RECEIPT
Receipt 115186
Payment Date: 05/13/08
Household 1519
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 419.52 Made By JOURNAL -RF With Reference
All refu ubject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is No as or credit card refunds.
Authorize Sig ature Date Authorized Signature Date
Z L4
F C
-VVE
P. AY 2 2008
v.
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.
Byard, David Terms
5256 Cherokee Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/08 115186 Refund 419.52
Total 419.52
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.
Byard, David Allowed 20
5256 Cherokee Court
Carmel, IN 46033
In Sum of
f
419.52
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 115186 4358400 419.52 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
23 -May 2008
9nature
419.52 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund