HomeMy WebLinkAbout165192 10/29/2008 CITY OF CARMEL INDIANA VENDOR: T362040 Page 1 of 1
ONE CIVIC SQUARE JENNIFER DAVIDSON
I CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 13822 AMBLEWOOD PL
WESTFIELD IN 46074 CHECK NUMBER: 165192
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
::1047 4358400 193089 60.00 REFUNDS AWARDS INDE
FACILITY REFUND RECEIPT
Receipt 193089 RRCF-TX7F-D
Payment Date: 10/08/2008
Household 4681 OCT 1 4 2008
Home Phone: (317)733 -6336
Work Phone: (317)450 -5204 AY.
JENNIFER DAVIDSON Monon Center
13822 AMBLEWOOD PL Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Facility Reservation Details
CANCELLATION Refund Of 60.00
Facility: Monon Center, Party Room A
Reserv. Contact: Jennifer Davidson, Cell: (317)450 -5204
Reserv. Number: 6529 Status: Cancelled
Purpose: Bday
Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
10/04/2008 Sat 2:OOP to 3:OOP 0.00 0.00 0.00 0.00 0.00
Cancel Reason: Concessions Not Open
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 60.00 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 10/08/08 15:34:46 by KAS FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 66:00
TOTAL AMOUNT REFUNDED, 60:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference Concessions Not Open
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 credit card refunds.
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
left at zero for reservation purposes, but will be updated after the reservation date. As soon as this data is available, you will
be invoiced for the current amount due. Please remit to our office within 10 days of the invoice date.
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FACILITY REFUND RECEIPT
Receipt# 193089
Payment Date: 10/08/2008
Household 4681
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ut Signat re D to Authorized Signature Date
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Page 2
ACCOUNTS PAYABLE VOUCHER
r 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.
Davidson, Jennifer Terms
13822 Amblewood PI Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/8/08 193089 Refund 60.00
Total 60.00
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.
Davadson, Jennifer Allowed 20
13822 Amblewood PI
Westfield, IN 46074
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#TTITLE AMOUNT Board Members
Dept
1047 193089 4358400 60.00 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
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund