HomeMy WebLinkAbout158181 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: T361084 Page 1 of 1
ONE CIVIC SQUARE HAILEE WINTERS CHECK AMOUNT: $64.00
CARMEL,INDIANA 46032 4508 RIMRIDGE DR
.EVANSVILLEIN 47711
e CHECK NUMBER: 158181
CHECK DATE: 411/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 95468 64.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 95468
Payment Date: 02/26/2008
Household 12941 RECEIVED
Hortle Phone: (317)431 -7058
Work Phone: MAR 2 0 2008
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HAILEE WINTERS Monon Center
4508 RIMRIDGE DRIVE Carmel IN 46032
EVANSVILLE, IN 47711
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION
Pass Holder: Hailee Winters Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #15285 128.00 0.00 128.00 0.00 0.00
Valid Dates: 10/13/2007 to 10/13/2008 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 128.00 1.00 0.00 0.00 128.00
Cancel Reason: Moving out of town
CANCELLATION Refund Of 64.00
Pass Holder: Austin Earlywine Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #15286 128.00 0.00 128.00 0.00 0.00
Valid Dates: 10/13/2007 to 10/13/2008 Pass Cancellation)
Fee Details: Fee Description Amount Count Dis count Sales T ax Total Fee
Prem. Yearly Adult R 128.00 1.00 0.00 0.00 128.00
Cancel Reason: Moving out of town
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 64.00 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 02/26/08 12:14:34 by EDR FEES CHANGED ON CANCELLED ITEMS 320.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 256.00
NET AMOUNT'FROM CANCELLED 'ITEMS,, :64:00
TOTAL AMOUNT REFUNDED 64.00
Page 1
PASS REFUND RECEIPT
Receipt 95468
Payment Date: 02/26/08
Household 12941
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 64.00 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
issued. No cash or credit card refunds.
Authori d S' nature Date Authorized Signature Date
Page #2
r. 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.
Hailee Winters Terms
4508 Rimridge Dr. Date Due
Evansville, IN 47711
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/08 95468 Refund 64.00
Total 64.00
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.
Hailee Winters Allowed 20
4508 Rimridge Dr.
Evansville, IN 47711
In Sum of
64.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 95468 4358400 64.00 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
24 -Mar 2008
,Zr gne ure
64.00 Business S es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund