HomeMy WebLinkAbout163301 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T361797 Page 1 of 1
ONE CIVIC SQUARE KELLY MCCORD CHECK AMOUNT: $216.34
CARMEL, INDIANA 46032 428 BEVERLY CT
CARMEL IN 46032 CHECK NUMBER: 163301
CHECK DATE: 913/2008
DEPARTMENT ACCOUNT PO NU MBER IN VOICE NU MBER AMOUNT DESCRIPTION
7 -1047 4358400 175289 216.34 REFUNDS AWARDS INDE
I
I
i
GLOBAL REFUND RECEIPT
Receipt 175289
Payment Date: 08/13/2008 T�
Household 20162
Home Phone: (317)459 -2677 AUG 2 8 2008
Work Phone:
BY:
KELLY MCCORD Monon Center
428 BEVERLY CT. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 216.34
Pass Holder: Kelly McCord Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #30164 23.66 0.00 23.66 0.00 0.00
Valid Dates: 07/08/2008 to 07/08/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 23.66 1.00 0.00 0.00 23.66
Cancel Reason: moving out of state
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 216.34 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 08/13/08 18:29:31 by CMG FEES CHANGED ON CANCELLED ITEMS 216.34
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 216.34 7
TOTAL AMOUNT REFUNDED 216.34
NEW NET HOUSEHOLD BALANCE 0.00
At R0ndof==> 216.34 Made By REFUND FINAN With Reference
AIL r ds are s ject to State Board of Accounts claim procedure and may take 4 6 weeks to process. A check will be
ru ed.c t`i o c edit c ign ure Date Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER
a
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.
McCord, Kelly Terms
428 Beverly Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/08 175289 Refund 216.34
Total 216.34
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.
McCord, Kelly Allowed 20
428 Beverly Ct
Carmel, IN 46032
In Sum of
216.34
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 175289 4358400 216.34 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
28 -Aug 2008
Signature
216.34 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund