HomeMy WebLinkAbout159565 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361245 Page 1 of 1
ONE CIVIC SQUARE BARBARA RICEMAN
i CARMEL, INDIANA 46032 13145 ROMA BEND CHECK AMOUNT: $100.00
WESTFIELD IN 46074 CHECK NUMBER: 159565
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 110556 100.00 REFUNDS AWARDS INDE
T
FACILITY REFUND RECEIPT
Receipt 110556 ]D
7PR U
Payment Date: 04/25/2008
Household 17605 Home Phone (317)440 -6443
Work Phone: (317)
BARBARA RICEMAN Monon Center
13145 ROMA BEND Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Facility Reservation Details
CANCELLATION Refund Of 100.00
Facility: West Park, West Park Shelter
Reserv. Contact: Barbara Riceman, HM: (317)440 -6443
Reserv. Number: 4703 status: Cancelled
Purpose: Wedding Shower /Dinner
Anticipated Count: 65
Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
05/31/2008 Sat 4:OOP to 8:OOP 0.00 0.00 0.00 0.00 0.00
Cancel Reason: personal reasons
G/L Code Descriptio Account Number Cntr_ Description Account Numb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 100.00 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 04/25/08 11:25:02 by TLP FEES CHANGED ON CANCELLED ITEMS 100.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 100.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 100.00 Made By JOURNAL -RF With Reference west park cancel'd
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.
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s
FACILITY REFUND RECEIPT
Receipt 110556
Payment Date: 04/25/08
Household 17605
The count for this line item will not be known until after the reservation date. Therefore, both the count and the extension are
lei rvation purposes, but will be updated after the reservation date. As soon as this data is available, you will
cedlp, current a ount due. Please remit to our office within 10 days of the invoice date.
Authorized Signature Date Authorized Signature Date
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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.
Barbara Riceman Terms
13145 Roma Bend Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
4/25/08 110556 Refund 100.00
Total 100.00
I 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.
Barbara Riceman Allowed 20
13145 Roma Bend
Westfield, IN 46074
In Sum of
SL,
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 110556 4358400 100.00 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
1 -May 2008
Sig atu e
100.00 Business Se ice Mana er
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund