HomeMy WebLinkAbout165235 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362047 Page 1 of 1
0 ONE CIVIC SQUARE REBECCA GILBERT
CARMEL,, INDIANA 46032 525 MELARKCR CHECK AMOUNT: $169.17
CARMEL IN 46032 CHECK NUMBER: 165235
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT 'DESCRIPTION
1047 4355400 190554 169.17 REFUNDS AWARDS INDE
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PASS REFUND RECEIPT
Receipt 190554 OC 7B Y-
4 X008
Payment Date: 09/29/2008
Hop sehold 13197
Hume Phone: (317)844 -4243
Work Phone: (317)848 -7275
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REBECCA GILBERT Monon Center
525 MELARK DR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848- 275
Fed Tax ID #35 -6 00972
Pass Details
MEMBERSHIP CHANGE
Pass Holder: Eric Gilbert Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #23357 380.00 0.00 32.00 348.00 0.00
Valid Dates: 04/15/2008 to 04/15/2009 Pass Change)
Fee Details: Fee Description Amount Count Discount S les Tax Total Fee
Prem. Yearly Adult R 380.00 1.00 0.00 0.00 380.00
G/L Code Description Account Number C st Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 169.17 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 517.17
Processed on 09/29/08 11:38:09 by EDR FEES ADJUSTED ON CHANGED ITEMS 348.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AM1 0UNT,,FROM CH` ANGED- ITEMS
HH BALANCE APPLIED TO THIS RECEIPT 517.17
TOTAL ;AMOUNT REFUNDED" 169.17,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 169.17 Made By REFUND FINAN With Reference
Payment of 348.00 Made By Pass Management Credit Balance
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss No h or credit card refunds.
Authorized Signature Date Authorized Signature Date
1.�
Page 1
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where pertormed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
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Gilbert, Rebecca Purchase Order No.
525 Melark Dr Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
9/29/08 190554 Refund Amount
169.17
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accor ncceal 169.17
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
Gilbert, Rebecca Allowed 20
525 Melark Dr
Carmel, IN 46032
In Sum of
169.17
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept
1047 190554 4358400 169.17 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
169.17 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund