161939 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361623 Page 1 Of 1
ONE CIVIC SQUARE RICHARD MACE
CARMEL, INDIANA 46032 10471 SPLIT ROAD WAY CHECK AMOUNT: $180.00
INDIANAPOLIS IN 46234
CHECK NUMBER: 161939
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 180.00 PARKS DEPARTMENT REFU
-'1
t
PASS REFUND RECEIPT
Receipt 141384
Payment Date: 06/30/2008 7 Ho- sehold 14778 T Home Phone: (317)858 -4717
Work Phone: (765)362 -5125 L 0 8 2008
RICHARD MACE Carmel Clay Parks Recreation
10471 SPLIT ROCK WAY 1235 Central Park Drive East
INDIANAPOLIS IN 46234 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 180.00
Pass Holder: Richard Mace Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Non (YFTAN), #18523 0.00 0.00 0.00 0.00 0.00
Valid Dates: 01/04/2008 to 01/04/2009 Pass Cancellation)
Cancel Reason: TOO far away.
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 180.00 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 06/30/08 08:28:11 by EMB FEES CHANGED ON CANCELLED ITEMS 180.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
:.NET.AMOUNT.FROM�,CANCELLED ITEMS, 180:00-
TOTAL °AMOUNT;REFUNDED r °y180.00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 180.00 Made By JOURNAL -RF With Reference
All re ubject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
ed. No c or credit card refunds.
Authonz gnature Date Authorized Signature Date
3 S) 4
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.
Terms
Mace, Richard Date Due
10471 Split Rock Way
Indianapolis, IN 46234
Invoice Invoice
Description Amount
Date Number (or note attached invoice(s) or bill(s))
180.00
6/30/08 141384 Refund in
Total 180.00
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.
Mace, Richard Allowed 20
10471 Split Rock Way
Indianapolis, IN 46234
In Sum of
180.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 141384 4358400 180.00 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
18 -Jul 2008
a "1
Signature
180.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund