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Home My WebLink About162454 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: T361653 Page 1 of 1 ONE CIVIC SQUARE SAIN OZDEMIR CARMEL, INDIANA 46032 4950 LIMBERLOST TRAIL CHECK AMOUNT: $73.50 CARMEL IN 46033 CHECK NUMBER: 162454 CHECK DATE: 8/7/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION 1047 4358400 158986 73.50 REFUNDS AWARDS INDE :r i !t PASS REFUND RECEIPT C Receipt 158986 Payment Date: 07/22/2008 AUG 0 4 2008 Household 12483 Home Phone: (317)571 -1115 Work Phone: (317)566 -9100 BY: SAIN OZDEMIR Monon Center 4950 LIMBERLOST TRAIL Carmel IN 46032 CARMEL IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 73.50 Pass Holder: Ethan Ozdemir Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu KZ Mem50 (VKZM50), #15756 1.50 0.00 1.50 0.00 0.00 Valid Dates: 10/29/2007 to 12/31/2099 Pass Cancellation) Pass Visit Info: Number of Visits: 49 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fe Value KidZone Member 1.50 1.00 0.00 0.00 1.50 Cancel Reason: Cancelled membership. GIL Code Description Account Number Cst C ntr Description Account Number Amou 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 73.50 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 07/22108 05:08:32 by EMB FEES CHANGED ON CANCELLED ITEMS 73.50 DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET %AMOU NTT >FROM 'CAN CELL ED ITEMS 73':50 TOTALAMOUNT: :REFUNDED 73.50'' NEW NET HOUSEHOLD BALANCE 0.00 Refund of 73.50 Made By REFUND FINAN With Reference AVNo bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be ir credit card re funds. Authors Sig ature Date Authorized Signature Date Page 1 r 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. Ozdemir, Sain Terms 4950 Limberlost Trail Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/22/08 158986 Refund 73.50 Total 73.50 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. Ozdemir, Sain Allowed 20 4950 Limberlost Trail Carmel, IN 46033 In Sum of 73.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 158986 4358400 73.50 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 4 -Aug 2008 .,LoZL2 Signature 73.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund