HomeMy WebLinkAbout163300 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T358261 Page 1 of 1
ONE CIVIC SQUARE ALLISON MAZZINI
CHECK AMOUNT: $151.02
is CARMEL, INDIANA 46032 14189 CHARITY CHASE CIRCLE
WESTFIELD IN 46074 CHECK NUMBER: 163300
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 177265 151.02 REFUNDS AWARDS INDE
c
J
GLOBAL REFUND RECEIPT
Receipt# 177265 1
Payment Date: 08/15/2008 A UG 2
Household 463 2008
Home Phone: (317)571 -0016
Work Phone: V
ALISON MAZZINI Monon Center
14189 CHARITY CHASE CIRCLE Carmel IN 46032
CARMEL IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of. 144152
Pass Holder: Alison Mazzini Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly'GF Res Unli (YGFRU), #22137 105.48 0.00 105.48 0.00 0.00
Valid Dates: 03/14/2008 to 03/14/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly GF Res Unlimi 105.48 1.00 0.00 0.00 105.48
Cancel Reason: not using
CANCELLATION
Pass Holder: Alison Mazzini' Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Res (YFTAR), #22147 120.00 0.00 120.00 0.00 0.00
Valid Dates: 03/14/2008 to 03/14/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 120.00 1.00 0.00 0.00 120.00
Cancel Reason: not using
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 151.02 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 6.50
J� O processed on 08/15/08 19:19:57 by CMG FEES CHANGED ON CANCELLED ITEMS 144.52
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT -FROM CANCELLED ITEMS.. 144:52
HH BALANCE APPLIED TO THIS RECEIPT 6.50
TOl'AL`AMOUNT�REFUNDED
Page 1
GLOBAL REFUND RECEIPT
Receipt 177265
Payment Date: 08/15/08
Household 463
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 151.02 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and a -6 weeks to process. A check will be
issued. No sh or credit card refunds.
CC L
Authorized Signature Date Authorize gnature Date
a� 3W
43-
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.
Mazzini, Alison Terms
14189 Charity Chase Circle Date Due
Carmel, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/15108 177265 Refund 151.02
Total 151.02
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.
Mazzini, Alison Allowed 20
14189 Charity Chase Circle
L. Ca=e�- IN 46074
In Sum of
151.02
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 177265 4358400 151.02 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
28 -Aug 2008
Signature
151.02 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund