HomeMy WebLinkAbout167367 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: T362317 Page 1 of 1
s ONE CIVIC SQUARE DAVE JONES CHECK AMOUNT: $352.12
CARMEL, INDIANA 46032 9110 FALL CREEK ROAD
CARMEL IN 46032 CHECK NUMBER: 167367
CHECK DATE: 12/23/2008
DEPARTM ACCOU PO. N UMBER IN NU MBER A MOUN T DESCR IPTION
1047 4358400 352.12 REFUNDS AWARDS ZNDE
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PASS REFUND RECEIPT
Receipt 196329 �Ta
Payment Date: 10/20/2008
Household 20309 DEC 8 2008
Home Phone: (317)506 -0824
Work Phone:
DAVE JONES Monon Center
9110 FALL CREEK ROAD Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 352.12
Pass Holder. Dave Jones Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt Non (YFTAN), #42436 7.88 0.00 7.88 0.00 0.00
Valid Dates: 10/12/2008 to 10/12/2009 Pass Cancellation)
Fee Details: Fee -Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Adult 7.88 1.00 0.00 0.00 7.88
Cancel Reason: moving
GIL Code Description Account Number Csl Cntr r
Account Number Amount
999999 Control Account (AP) Enter Control Accl CNTRL Control Account (AP) Enter Control Acct here 352.12 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 0.00
Processed on 10/20108 21:40:36 by ARH FEES CHANGED ON CANCELLED ITEMS 352.12
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT=FROM CANCELLED ITEMS; :::352:12-:
TOTALAMOUNT:REFUNDED`�z;.: ?::::.>`:.:.`.;..:.i:a35212:;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 352.12 Mad REF tqUFINAN With Reference
f
All refund$ are subject to ate rd o caounts claim procedure and may take 4 -6 ks to process. A check will be
Issu No Cash or red' card r un' 1
t
iANf6rized Sign' ur Date C/ LAu ho e ig 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.
Payee
Purchase Order No.
Jones, Dave Terms
9110 Fall Creek Road Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/08 196329 Refund 352.12
Total 352.12
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.
Jones, Dave Allowed 20
9110 Fall Creek Road
Carmel, IN 46032
In Sum of
352.12
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 196329 4358400 352.12 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 -Dec 2008
V VV
Signature
352.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund