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Home My WebLink About156364 02/06/2008 „w CITY OF CARMEL, INDIANA VENDOR: T360829 Page 1 of 1 ONE CIVIC SQUARE CORY YAMAGUCHI CARMEL, INDIANA 46032 6068TANANA DR CHECK AMOUNT: $409.14 CARMEL IN 46033 CHECK NUMBER: 156364 CHECK DATE: 2/612008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION 1046 4358400 81443 409.14 REFUNDS AWARDS INDE i i PASS REFUND RECEIPT Receipt 81443 Payment Date: 01/04/2008 JAN 2 2 2008 Household 7181 Home Phone: (317)575 -0780 �f Work Phone: 11 j CORY YAMAGLICHI Monon Center 6068 TANANA DRIVE Carmel IN 46032 CARMEL, IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 409.14 Pass Holder: Cory Yamaguchi Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prem. Yrly HH R (PRMYRHHR), #3658 630.86 0.00 630.86 0.00 0.00 Valid Dates: 05/27/2007 to 05/27/2008 Pass Cancellation) Fee Details: Fee Description A mount Count Discount Sales Tax Total Fee Prem Yrly HH Res 630.86 1.00 0.00 0.00 630.86 CANCELLATION Pass Holder: Donna Yamaguchi Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prm Yr HH Add R (PRMHHADR), #3689 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/27/2007 to 05/27/2008 Pass Cancellation) CANCELLATION Pass Holder: Dylan Yamaguchi Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prm Yr HH Add R (PRMHHADR), #3687 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/27/2007 to 05/27/2008 Pass Cancellation) CANCELLATION Pass Holder: Cadence Yamaguchi Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prm Yr HH Add R (PRMHHADR), #3688 0.00 0.00 0.00 0.00 0.00 Valid Dates: 05/27/2007 to 05/27/2008 Pass Cancellation) Page 1 PASS REFUND RECEIPT Receipt 81443 Payment Date: 01/04/08 Household 7181 G/L Code Descri Ac count Nu mber Cst Cntr Descri Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 409.14 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 01/04/08 13:59:02 by EDR FEES CHANGED ON CANCELLED ITEMS 409.14 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NETAMOUNTFROM CAN C ELL' ED,,ITEMS TOTALAMOUNTREFUNDED NEW NET HOUSEHOLD BALANCE 0.00 Refund Type: Refund from Finance Refund of 409.14 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 ca credit card refunds. Au tho i Signature II Date Authorized Signature Date .IJI `4 3S 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. Cory Yamaguchi Terms 6068 Tanana Drive Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/4/08 81443 Refund 409.14 Total 409.14 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. Cory Yamaguchi Allowed 20 6068 Tanana Drive Carmel, IN 46033 In Sum of 409.14 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 81443 4358400 409.14 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 -Jan 2008 Signature 409.14 Business Servic Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund