164349 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361911 Page 1 of 1
ONE CIVIC SQUARE ALAN MONEY
CHECK AMOUNT: $32.00
CARMEL, INDIANA 46032 7901W LANE
CARMEL IN 46032 CHECK NUMBER: 164349
CHECK DATE: 9/3012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
iC)47 4358400 32.00 REFUNDS AWARDS INDE
i
1
I
PASS REFUND RECEIPT
=BY:
Receipt 188631
Payment Date: 09/15/2008
Household 6993
Home Phone: (317)490 -4436
Work Phone: (317)962 -0735
ALAN MONEY Monon Center
790 IVY LANE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 32.00
Pass Holder: Brittany Money Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #25222 96.00 0.00 96.00 0.00 0.00
Valid Dates: 05/21/2008 to 05/21/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 96.00 1.00 0.00 0.00 96.00
Cancel Reason: N/A
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 32.00 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 09/15/08 10:02:22 by EMB FEES CHANGED ON CANCELLED ITEMS 32.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT, FROM;CANCELLEDATEMS' 32:00
TOTAL=AMOUNT REFUNDED 32.00';
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.00 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.
a v
n�N qZ I Slow
Authorized 4ignature 6ate Authorized Signature Date
o S r Z-' `4 `3
!l(J`42.4 Page #1
ACCOUNTS PAYABLE VOUCHER
R 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.
Money, Alan Terms
790 Ivy Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/08 188631 Refund 32.00
Total 32.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Money, Alan Allowed 20
790 Ivy Lane
Carmel, IN 46032
In Sum of
r 32.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 188631 4358400 32.00 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
24 -Sep 2008
I o t
Signature
32.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund