HomeMy WebLinkAbout164831 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: T361997 Page 1 of 1
ONE CIVIC SQUARE KURT MENNER CHECK AMOUNT: $87.00
CARMEL, INDIANA 46032 13250 GATMAN CT
4„j!o CARMEL IN 46032 CHECK NUMBER: 164831
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1047 4358400 189094 87.00 REFUNDS AWARDS INDE
I
I
PASS REFUND RECEIPT
V
Receipt 189094
Payment Date: 09/18/2008 Household 10559 Home Phone: (317)555 -5555
Work Phone: (317)
KURT MENNER Monon Center
13250 GATMAN COURT Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 83.00
Pass Holder: Kurt Menner Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly HH R (PRMYRHHR), #12370 87.00 0.00 87.00 0.00 0.00
Valid Dates: 07/15/2008 to 07/23/2009 Pass Change)
Auto -Debit Details: 5 Current/Previous Bill(s) Totaling $435.00 10 Future Bill(s) Totaling $870.00
Final Cumulative Fees Totaling $957.00
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem Yrly HH Res 87.00 1.00 0.00 0.00 87.00
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 87.00 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 09/18/08 13:26:34 by EMB FEES ADJUSTED ON CHANGED ITEMS 87.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT FROM CHANGED ITEMS 87.00
TOTAL AMOUNT.REFUNDED 87.00
NEW NET HOUSEHOLD BALANCE 0.00
i
Refund of 87.00 Made By REFUND FINAN 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. p
Auth rized Signature Date Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER I
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.
Menner, Kurt Terms
13250 Gatman Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/08 189094 Refund
87.00
Total 87.00
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.
Menner, Kurt Allowed 20
13250 Gatman Court
Carmel, IN 46032
In Sum of
87.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 189094 4358400 87.00 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
7 -Oct 2008
Signature
87.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund