HomeMy WebLinkAbout159288 05/14/2008 q
CITY OF CARMEL, INDIANA VENDOR: 361223 Page 1 of 1
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ONE CIVIC SQUARE HOLLY CLOUSE
s< CARMEL, INDIANA 46032 11221 WHITE WATERWAY
CHECK AMOUNT: $559.06
FISHERS IN 46038 CHECK NUMBER: 159288
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CHECK DATE: 5/14/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION
1047 4358400 559.06 PARKS DEPARTMENT REFU
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I
PASS REFUND RECEIPT
Receipt 110145
Payment Date: 04/23/2008
Household 17423 R G
Home Phone: (317)570 -0303
Work Phone:
APR 2
HOLLY CLOUSE Carmel Clay Parks Recreation
11221 WHITE WATER WAY 1235 Central Park Drive East
FISHERS IN 46038 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 559.06
Pass Holder: Holly Clouse Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad N (PRMYRADN), #23416 10.94 0.00 10.94 0.00 0.00
Valid Dates: 04/16/2008 to 04/16/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult N 10.94 1.00 0.00 0.00 10.94
Cancel Reason: Child Crying kidzone, mother unable to work out
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 559.06 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 04/23/08 13:31:48 by LVA FEES CHANGED ON CANCELLED ITEMS 559.06-
1 DISCOUNT APPLIED, AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET "AMOUNT FROM CANCELLED. ITEMS 559:06
TOTAL =AMOUNT_REFUNDED 559:06
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 559.06 Made By JOURNAL -RF With Reference
All refun s a subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu No cash or credit card refunds. j
tlio ze 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.
Holly Clouse Terms
11221 White Water Way Date Due
Fisher, In 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/23/08 110145 Refund 559.06
Total 559.06
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.
Holly Clouse Allowed 20
11221 White Water Way
Fisher, In 46038
In Sum of
559.06
ONZCCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 110145 4358400 559.06 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
1-May 2008
prvices
559.06 Busine Manager
Cost distrib ution ledger classification if Title
claim paid motor vehicle highway fund