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Home My WebLink About157051 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: T360815 Page 1 of 1 4 ONE CIVIC SQUARE CRUZ ESCdTd CHECK AMOUNT: $280.00 CARMEL, INDIANA 46032 14135 NICHOLAS DR WESTFIELDIN 46074 CHECK NUMBER: 157051 CHECK DATE: 31512008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 .280.00 PARKS DEPARTMENT REFU c- I i PASS REFUND RECEIPT Receipt 83343 Payment Date: 01/10/2008 FFEEB D Household 12808 Home Phone: (317)566 -0773 2008 Word Phone: (317)406 -2647 CRUZ ESCOTO Monon Center 14135 NICHOLAS DR Carmel IN 46032 WESTFIELD, IN 46074 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details Pass Holder: Cruz Escoto Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly FT Alt Res (YFTAR), #19031 240.00 0.00 240.00 0.00 0.00 valid Dates: 01/10/2008 to 01/10/2009 Pass Transfer from Prem. Yrly Ad R) Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Yearly Fitness Adult 240.00 1 .00 0.00 0.00 240.00 Pass Holder: Nidia Escoto Pass Type: Yly FT Alt Res (YFTAR), #19032 Fees +Tax Discount Prev id Cur Paid Amount Due r valid Dates: 01/10/2008 to 01/10/2009 Pass Transfer from Prem. Yrly Ad R)OD 240.00 0.00 0.00 Fee Details: Fee Description F A mount Count Yearly Fitness Adult Discount Sales Tax Total Fee r 240.00 1.00 0.00 0.00 240.00 G /L Code Descri ption 99999 Control Account (AP)— Account Number Cst �nt� Descri ption Enter Control Acct CNTRL Account Number k The REVENUE account was DEB as CREDITED on the day of the refund Amoun DEBITED and the CONTROL account w Control Account (AP) Enter Control Acct here t 280.00 DR Finance will have to DEBIT the CONTROL account for the amounts listed above after L` the checks have been written to the customers. r j n Processed o 01 /10/08 PREVIOUS NET HO USEHOLD F 13:57:13 by EDR BALANCE z NET FROM/TO TRANSFER FEES 0.00 DISCOUNT APPLIED AGAINST NET FROM/TO TRANSFER TAX FEES 280.00 0 .00 NETAMOUNT FQOM CHgNGED1TEN}g 0.00 TOTAL AMO UNT REFUNDED NEW NET HOUSEHOLD 280 00 Refund T BALANC Refund T ype: Refund from Finance of 280.00 Made By JOURNAL_ 0.00 RF With Reference Y r PASS REFUND RECEIPT Receipt 83343 Payment Date: 01/10/08 Household 12808 Amount: 480.00 Payment Type: Pass Management Credit Balance All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. o cash or credit card refunds. Authorized S fu Date Authorized Signature Date y3 S�k�� zos 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 q Purchase Order No. Cruz Escoto Terms 14135 Nicholas Dr. Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/10/08 83343 Refund 280.00 Total 280.00 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 20_ Clerk- Treasurer Voucher No. Warrant No. Cruz Escoto Allowed 20 14135 Nicholas Dr. Westfield, IN 46074 In Sum of 280.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or Board Members Dept ept INVOICE NO. ACCT #/TITLE AMOUNT 1047 83343 4358400 280.00 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 28 -Feb 2008 Si nawr 280.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund