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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 B Y:_igfc 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