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Home My WebLink About161217 07/08/2008 f CITY OF CARMEL, INDIANA VENDOR: T361494 Page 1 of 1 ONE CIVIC SQUARE MARTHA JOHNSON CHECK AMOUNT: $58.50 CARMEL, INDIANA 46032 11661 SALERNO CT CARMEL IN 46032 CHECK NUMBER: 161217 CHECK DATE: 7/8/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 129443 58.50 REFUNDS AWARDS INDE PASS REFUND RECEIPT Receipt 129443 Payment Date: 06/12/2008 Household 19301 Home Phone: (317)816 -9101 Work Phone: MARTHA JOHNSON Carmel Clay Parks Recreation 11861 SALERNO CT 1235 Central Park Drive East CARMEL iN 46032 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 36.00 Pass Molder: Marla Olinger Fees +Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu AQ Alt Res10 (VAQAR10), #27656 4.00 0.00 4.00 0.00 0.00 Valid Dates: 06/10/2008 to 12/31/2099 Pass Cancellation) Pass Visit Info: Number of Visits: 9 Fee Details: Fee Descri Amount Count Discount Sales Tax Total Fee Value Aquatics Adult 4.00 1.00 0.00 0,00 4.00 Cancel Reason: Day campers lack of supervision at pool CANCELLATION Refund Of 22.50 Pass Holder: Lunden Olinger Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu AQ Yth Res10.(VAQYR10), #27657 2.50 0.00 2.50 0.00 0.00 Valid Dates: 06/10/2008 to 12/31/2099 Pass Cancellation) Pass Visit Info: Number of Visits: 9 Fee Details: Fee Descri Amount Count Discount Sales T ax Total Fee Value Aquatics Youth 2.50 1.00 0.00 0.00 2.50 Cancel Reason: Day campers lack of supervision at pool GIL 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 58.50 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 06/12108 10:15:20 by LVA FEES CHANGED ON CANCELLED ITEMS 58.50 DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NETAMOUNTaEROM CANCELL^'ED;IT,EMS T,OTALFAMOUNT<REFUNDED- "Ik'A, X58:50'? Page 1 PASS REFUND RECEIPT Receipt 129443 Payment Date: 06/12/08 Household 19301 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 58.50 Made By JOURNAL -RF With Reference All refur jAs are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issW, No cash or credit card refunds. 6-(A ov Authorized Signature Date Authorized Signature Date =LEAVED JUN 2 3 2008 �'Y: 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. Johnson, Martha Terms 11861 Salerno Ct Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/12/08 129443 Refund 58.50 Total 58.50 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. Johnson, Martha Allowed 20 11861 Salerno Ct Carmel, IN 46032 In Sum of 58.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 129443 4358400 58.50 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 27 -Jun 2008 Signature 58.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ENTERED