165189 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362039 Page 1 of 1
ONE CIVIC SQUARE MICHAEL CRAIG
CARMEL, INDIANA 46032 10247 CENTRAL AVE CHECK AMOUNT: $160.00
INDIANAPOLIS IN 46280 CHECK NUMBER.: 165189
CHECK DATE: 10/29/2008
DEPARTMENT A PO N UMBE R IN NUMBE AMOUNT DESCRIPTION
,1047 4358400 189989 160.00 REFUNDS AWARDS TNDE
ko
m9 0.
PASS REFUND RECEIPT
Receipt# 189989 1�.CFV�
Payment Date: 09124/2008
Household 15692 OCT 1 4 2008
Home Phone: (317)848 -6034
Work Phone: (317)848 -6034 BY.
MICHAEL CRAIG Monon Center
10247 CENTRAL AVE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 76.36
Pass Holder: Michael Craig Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly HH R (PRMYRHHR), #20269 534.52 0.00 0.00 534.52 0.00
Valid Dates. 01/31/2008 to 01/31/2009 Pass Cancellation)
Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee
Prem Yrly HH Res 534.52 1.00 0.00 0.00 534.52
Cancel Reason: no longer using
CANCELLATION
Pass Holder: Delorse Craig Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr HH Add R (PRMHHADR), #20270 0.00 0.00 0.00 0.00 0.00
Valid Dates: 01/31/2008 to 01/31/2009 Pass Cancellation)
Cancel Reason: no longer using
CANCELLATION
Pass Holder: Clint Craig Fees Tax Discount Prev Paid _Cur Paid Amount Due
Pass Type: Prm Yr HH Add R (PRMHHADR), #20271 0.00 0.00 0.00 0.00 0.00
Valid Dates: 01/31/2008 to 01/31/2009 Pass Cancellation)
Cancel Reason: no longer using
CANCELLATION
Pass Holder: Colby Craig Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type Prm Yr HH Add R (PRMHHADR), #20272 0.00 0.00 0.00 0.00 0.00
Valid Dates: 01/31/2008 to 01/31/2009 Pass Cancellation)
Cancel Reason: no longer using
Page 1
PASS REFUND RECEIPT
Receipt 189989
Payment Date: 09/24/08
Household 15692
G/L Code Description Account Number Cst C ntr Description Acco N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 160.00 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 CREDIT HOUSEHOLD BALANCE 83.64
Processed on 09/24/08 14:06:26 by EDR FEES CHANGED ON CANCELLED ITEMS 610.88
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES O 534.52
NETyA.MOUNTFROM'CANCELLEDITEMS 76:36``
HH BALANCE APPLIED TO THIS RECEIPT 83.64
T.OTAL'AMOUNT:REFUNDED'. 160flp;1
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 160.00 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.
R
Authorized Aignatb Date G/ t j U
u horized Signature Date
J22
Page 2
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.
Craig, Michael Terms
10247 Central Ave Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9124108 189989 Refund 160.00
Total 160.00
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.
Craig, Michael Allowed 20
10247 Central Ave
Indianapolis, IN 46280
In Sum of
160.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #iTITLE AMOUNT Board Members
Dept
1047 18 9989 4358400 160.00 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
14 -Oct 2008
Signature
160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund