HomeMy WebLinkAbout156243 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: T360818 Page 1 of 1
Cq
b ONE CIVIC SQUARE LINDA LONG
s o CARMEL, INDIANA x}6032 13510 CUFTr FALLS DR CHECK AMOUNT: $20.00
CARMEL IN 46032 CHECK NUMBER: 156243
CHECK DATE: 2/612008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4358400 87554 20.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 87554
Payment Date: 01/24/2008
Household 12931
Hohne Phone: (317)705 -0344
Work Phone:
RECEIVED
JAN 2 5 2008
LINDA LONG Monon C �[y��
13510 CLIFTY FALLS DRIVE Carmel 1 0L 2
CARMEL, IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 20.00
Pass Holder: Sala Pedersen Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Vu AQ Alt Res10 (VAQAR10), #16690 20.00 0.00 20.00 0.00 0.00
Valid Dates: 11/25/2007 to 12/31/2099 Pass Change)
Pass Visit Info: Number of Visits: 4
Fee Details: Fee Descri Amount Count Di scount Sales Tax Total Fee
Value Aquatics Adult 20.00 1.00 0.00 0.00 20.00
G/L Code Descriptio Account Num Cst Cntr Description Account Num Amo
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 01/24108 15:02:38 by CMB FEES ADJUSTED ON CHANGED ITEMS 20.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT FROM'.CHANGED ITEMS 20:00
TOTAL .AMOUNT REFUNDED 20:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 20.00 Made By JOURNAL -RF With Reference cant pass but pd mth
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.
Authorized 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.
i
Payee
Purchase Order No.
Linda Long Terms
13510 Clifty Falls Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/08 87554 Refund 20.00
Total 20.00
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.
Linda Long Allowed 20
13510 Clifty Falls Drive
Carmel, IN. 46032
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 87554 4358400 20.00 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
29 -Jan 2008
S' ature
20.00 Business Servi 4anager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund