161800 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: T360330 Page 1 of 1
ONE CIVIC SQUARE WEN WEI DONG
CARMEL, INDIANA 46032 13997 QUARTER HORSE COURT CHECK AMOUNT: $255.40
CARMEL IN 46032 CHECK NUMBER: 161800
CHECK DATE: 7123/2008
,[DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 255.40 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 138746 VD
Payment Date: 06/25/2008
Household 12627 JUL 0 8 2008
Home Phone: (317)846 -4661
Worts Phone: �1-�
Y:
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WEN WEI DOING Carmel Clay Parks Recreation
13997 QUARTER HORSE CT. 1235 Central Park Drive East
CARMEL fN 46032 Carmel IN 46032
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 255.40
Pass Holder Wen Wei DOng Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #21491 124.60 0.00 124.60 0.00 0.00
Valid Dates: 02/26/2008 to 02/26/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount S ales Tax Total Fee
Prem. Yearly Adult R 124.60 1.00 0.00 0.00 124.60
Cancel Reason: other memebership
GIL Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 255.40 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 06/25/08 06:17:11 by LVA FEES CHANGED ON CANCELLED ITEMS 255.40
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET�AMOUNT£FROM`CANCELLED „ITEMS'.
TOTAL AMOEJNT REFI7LVDED 255:40($:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 255.40 Made By JOURNAL -RF With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu No credit card refunds.
jj�� -V-
Auth riz Signature Date Authorized Signature Date
j cam 21 L/
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
Purchase Order No.
Dong, Wen Wei Terms
13997 Quarter Horse Ct. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25108 138746 Refund 255.40
Total 255.40
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.
Dong, Wen Wei Allowed 20
13997 Quarter Horse Ct.
Carmel, IN 46032
In Sum of
255.40
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#rriTLE AMOUNT Board Members
Dept
1047 138746 4358400 255.40 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
18 -Jul 2008
Signature
255.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1