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Home My WebLink About163817 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361832 Page 1 of 1 ONE CIVIC SQUARE KIANA WILLIAMS CARMEL, INDIANA 46032 224 MEADOW LANE #7 CHECK AMOUNT: $89.00 CARMEL IN 46032 CHECK NUMBER: 163817 CHECK DATE: 9/17/2008 DEPARTMENT ACCOUNT PO NUMB INVOI NU MBER AMOUNT DESCRIPTION 1046 4358400 181924 89.00 REFUNDS AWARDS INDE �r PASS REFUND RECEIPT Receipt 181924 Payment Date: 08/29/2008 7 Y- Household 21128 Home.Phone: (317)985 -4361 P 0 2 Work Phone: 2008 KIANA WILLIAMS Carmel Elementary 224 MEADOW LANE #7 101 4th Avenue SE CARMEL IN 46032 Carmel IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details Pass Holder: Shyana Williams Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 -3 Week 1 PM (ESE1301 P), #37447 35.00 0.00 0.00 35.00 0.00 Valid Dates: 08/12/2008 to 08/15/2008 Pass Transfer from Flat Aug PM) Fee Details: Fee__Description A m ou nt Count Discount Sales Tax _._Total Fee. 1 -3 Weekly PM 35.00 1.00 0.00 0.00 35.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 The following item reflects a payment towards a previous receipt Pass Holder: Shyana Williams Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 4 -5 Week 2 PM (ESE4502P), #37446 51.00 0.00 0.00 51.00 0.00 Valid Dates: 08/18/2008 to 08/22/2008 New Pass Registration) Fee Details: Fee Description Amount Count Discount Sale Tax _Total Fee_ 4 -5 Weekly PM 51.00 1.00 0.00 0.00 51.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 G/L Code Description Accoun Number Cst Cntr Descriptio Account Number Amo unt 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 89.00 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 181924 Payment Date: 08/29/2008 Household 21128 Home,Phone: (317)985 -4361 Work Phone: SEP O 2 2008 KIANA WILLIAMS Carmel Elementary 224 MEADOW LANE #7 101 4th Avenue SE CARMEL IN 46032 Carmel IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details Pass Holder: Shyana Williams Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 1 -3 Week 1 PM (ESE1301 P), #37447 35.00 0.00 0.00 35.00 0.00 Valid Dates: 08/12/2008 to 08/15/2008 Pass Transfer from Flat Aug PM) Fee Details: Fee_ Descri ption____ __Amoun_t Count Discount _Sales Tax Total_F.ee, 1 -3 Weekly PM 35.00 1.00 0.00 0.00 35.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 The following item reflects a payment towards a previous receipt Pass Holder: Shyana Williams Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 4 -5 Week 2 PM (ESE4502P), #37446 51.00 0.00 0.00 51.00 0.00 Valid Dates: 08/18/2008 to 08/22/2008 New Pass Registration) Fee Details: Fee Description Amount Count Di scoun t Sales Tax T F 4 -5 Weekly PM 51.00 1.00 0.00 0.00 51.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 ESE Late Payment Fee 0.00 1.00 0.00 0.00 0.00 G/L Cod Descri ption Account Number Cst Cntr Descrip Account Number A mount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 89.00 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 181924 Payment Date: 08/29/08 Household 21128 PREVIOUS NET HOUSEHOLD BALANCE 51.00 Processed on 08/29/08 10:14:35 by SLH FEES ADJUSTED ON CHANGED ITEMS 140.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 NET FROM/TO TRANSFER TAX 0.00 NET AMOUNT FROM CHANGED ITEMS 140.00 HH BALANCE APPLIED TO THIS RECEIPT 51.00 TOTAL AMOUNT REFUNDED 89.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 89.00 Made By REFUND FINAN With Reference Payment of .00 Made By Pass Management Credit Balance AN All refunds are bject to State Board of Accojgits claim procedure and may take 4 -6 weeks to process. A check will be issue ca or credit card refunds. 03 Authoriz Sig 17h Authorized Signature Date Ah a Ar= r W Ah A%6.� r Page 2 PASS REFUND RECEIPT Receipt 181924 Payment Date: 08/29/08 Household 21128 PREVIOUS NET HOUSEHOLD BALANCE 51.00 Processed on 08/29/08 10:14:35 by SLH FEES ADJUSTED ON CHANGED ITEMS 140.00- DISCOUNT APPLIED AGAINST THESE FEES 0.00 NET FROM/TO TRANSFER TAX 0.00 NET AMOUNT FROM CHANGED ITEMS 140.00 HH BALANCE APPLIED TO THIS RECEIPT 51.00 TOTAL AMOUNT REFUNDED 89.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 89.00 Made By REFUND FINAN With Reference Payment of 00 Made By Pass Management Credit Balance All refunds are bject to State Board of Acco is claim procedure and may take 4 -6 weeks to process. A check will be issue ca or credit card refunds. Authoriz Signatur Date Authorized Signature Date Page 2 h S�NZ. a0 s.1. 2 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. Terms Williams, Kiana 224 Meadow Lane 7 Date Due Carmel, IN 46032 Invoice Invoice Description Date Number ached invoice(s) or note attached or bill(s)) Amount 89.00 D 8/29/08 181924 Refund Total 89.00 1 hereby certify that the attached invoice(s), or bi11(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. Williams, Kiana Allowed 20 224 Meadow Lane 7 Carmel, IN 46032 In Sum of 89.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 181924 4358400 89.00 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 2 -Sep 2008 Signature 89.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund