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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