HomeMy WebLinkAbout162486 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: T361657 Page 1 of 1
ONE CIVIC SQUARE BRANDON ROOP
!i CHECK AMOUNT: $80.98
CARMEL, INDIANA 46032 431 WINDHAM PASS
CARMEL IN 46032 CHECK NUMBER: 162486
CHECK DATE: 817/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1047 4358400 80.98 PARKS DEPARTMENT REFU
Y PASS REFUND RECEIPT 4s-
i
Receipt 165194
Payment Date: 07/29/2008
Household 12991 R C IV D
Home Phone: (317)294 -2198
Work Phone: (317) AUG O 4 2008
BY:
BRANDON ROOP Monon Center
431 WINDHAM PASS Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 80.98
Pass Holder: Brandon Roop Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #15341 299.02 0.00 299.02 0.00 0.00
Valid Dates: 10/15/2007 to 10/15/2008 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 299.02 1.00 0.00 0.00 299.02
Cancel Reason: moved.
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 80.98 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 07/29108 21:44:08 by ARH FEES CHANGED ON CANCELLED ITEMS 80.98-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS "80.98
TOTAL; AMOUNTREFUNDED 80.98
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 80.98 Made By REFUND FINAN With Reference
All r ds re bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
d. No ca or cre it card efunds.
Authorized Signature Date Authorized Signature Date
Page 1
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.
Roop, Brandon Terms
431 Womdja, {ass Date Due
Carmel, IN 46032
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
Amount
7/29/08 165194 Refund
80.98
Total 80.98
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.
Roop, Brandon Allowed 20
431 b�e, {mss wi
Carmel, IN 46032
In Sum of
80.98
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 165194 4358400 80.98 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
1 pjelk&m n li
Signature
80.98 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund