HomeMy WebLinkAbout162329 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: T361649 Page 1 of 1
ONE CIVIC SQUARE CHAD FRAZELL CHECK AMOUNT: $282.15
CARMEL, INDIANA 46032 1687 OLD MISSION COVE
INDPLS IN 46280 CHECK NUMBER: 162329
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1 -047 4358400 282.15 REFUNDS AWARDS INDE
i
I
PASS REFUND RECEIPT
Receipt 165581 RECE E
Pa)vment Date: 07/31/2008
Household 11620 AUG 0 A 2008
Home Phone: (317)289 -5675
Work Phone:
BY:
I
CHAD FRAZELL Monon Center
1687 OLD MISSION COVE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848-7275
j Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 282.15
Pass Holder: Chad Frazell Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #23951 97.85 0.00 97.85 0.00 0.00
Valid Dates: 04/28/2008 to 04/28/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 97.85 1.00 0.00 0.00 97.85
Cancel Reason: Not satisfied.
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 282.15 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 07/31/08 06:14:02 by EMB FEES CHANGED ON CANCELLED ITEMS 282.15-
1 DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
,.NETsAMOUNT'FROM`CANCELLED °ITEMS `282.15
TOTAL:AMOUNT REFUNDED,, °282.15;2
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 282.15 Made By REFUND FINAN With Reference
All ref s are s bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss No ash r credit card refunds.
n
Authorized igna'ture ate Authorized Signature Date
ZL) L--n L
Page 1
ACCOUNTS PAYABLE VOUCHER
a► 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.
Frazell, Chad Terms
1687 Old Mission Cove Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7131/08 165581 Refund 282.15
Total 282.15
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Frazell, Chad Allowed 20
1687 Old Mission Cove
Indianapolis, IN 46280
In Sum of
282.15
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 165581 4358400 282.15 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
'PA& I L4AILL,
Signature
282.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund