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Home My WebLink About166697 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: T362230 Page 1 of 1 ONE CIVIC SQUARE DEBBIE HAMMES CARMEL, INDIANA 46032 3714 GOULD DRIVE CHECK AMOUNT: $55.00 CARMEL IN 46033 CHECK NUMBER: 166697 <ro bo CHECK DATE: 12/10/2008 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 203978 55.00 REFUNDS AWARDS INDE tl Ig a 'K,:. PASS REFUNL ;CEIPT Receipt 203978 Payment Date: 11/22/2008 Household 6434 Horne Phone: (317)581 -8985 DEC 0 1 2008 Work Phone: (317)777 -5222 DEBBIE HAMMES Monon Center 3714 GOULD DRIVE Carmel IN 46032 CARMEL IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 55.00 Pass Holder: Debbie Hammes Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly FT Hh Res (YFTHR), #14313 0.00 0.00 0.00 0.00 0.00 Valid Dates: 10/03/2008 to 10/03/2009 Pass Cancellation) Cancel Reason: was not aware that it was going to renew be it expired in sept and were not charged in oct. when they were not charged they came in signed up as 2 ind. fitness adults. CANCELLATION Pass Holder: Jessie Hammes Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly FT Hh Res A (YFTHRADD), #14314 0.00 0.00 0.00 0.00 0.00 Valid Dates: 09/08/2007 to 09/08/2008 Pass Cancellation) Cancel Reason: was not aware that it was going to renew be it expired in sept and were not charged in oct. when they were not charged they came in signed up as 2 ind. fitness adults. CANCELLATION Pass Holder: Greg Hammes Fees Tax Discount Prev Paid Our Paid Amount Due Pass Type: Yly FT Hh Res A (YFTHRADD), #14315 0.00 0.00 0.00 0.00 0.00 Valid Dates: 09/08/2007 to 09/08/2008 Pass Cancellation) cancel Reason: was not aware that it was going to renew be it expired in sept and were not charged in oct. when they were not charged they came in signed up as 2 ind. fitness adults. 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 55.00 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. Page 1 PASS REFUND RECEIPT Receipt 203978 Payment Date: 11/2212008 Household 6434 PREVIOUS NET HOUSEHOLD BALANCE 0.00 Processed on 11/22/08 16:28:23 by ARH FEES CHANGED ON CANCELLED ITEMS 55.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 PNET- AMOUNTFROM.CANCELLEDITEMS 5500,:r aFTOTAL-AMOUNT REFUNDED.,. r r. 55:00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 55.00 Made By REFUND FINAN 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 issued. No cash or credit card refunds. Authorized Signature Date Authorized Signature Date 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. Hammes, Debbie Terms 3714 Gould Drive Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/22/08 203978 Refund 55.00 Total 55.00 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. Hammes, Debbie Allowed 20 3714 Gould Drive Carmel, IN 46033 In Sum of$ e 55.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 203978 4358400 55.00 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 5 -Dec 2008 Signature 55.00 Accounts Payable Coordinator Cost distribution ledger classification if Title clai paid motor vehicle highway fund