Loading...
HomeMy WebLinkAbout159437 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361257 Page 1 of 1 ONE CIVIC SQUARE ROB KIRSH j CHECK AMOUNT: $118.50 6084 APPLE TREE DR SUITE 1 CARMEL, INDIANA 46032 MEMPHIS TN 38115 CHECK NUMBER: 159437 CHECK DATE: 5/14/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 118.50 REFUNDS AWARDS INDE PASS REFUND RECEIPT Receipt 109977 Payment Date: 04/23/2008 Household 6175 AwN 9, 9 zppg Home Phone: (901)825 -3960 Work Phone: (317)557 -2000 BY: ROB KIRSH Carmel Clay Parks Recreation 6084 APPLE TREE DR. SUITE 1 1235 Central Park Drive East MEMPHIS TN 38115 Carmel IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 73.50 Pass Holder: Rob Kirsh Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu KZ Mem50 (VKZM50), #21357 1.50 0.00 1.50 0.00 0.00 Valid Dates: 02/23/2008 to 12/31/2099 Pass Cancellation) Pass Visit Info: Number of Visits: 49 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Value KidZone Member 1.50 1.00 0.00 0.00 1.50 Cancel Reason: Moving to Tennessee CANCELLATION Refund Of 45.00 Pass Holder: Amy Kirsh Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu MC Alt Rasl0 (VMCAR10), #21358 5.00 0.00 5.00 0.00 0.00 Valid Dates: 02/23/2008 to 12/31/2099 Pass Cancellation) Pass Visit Info: Number of Visits: 9 Fee Details: Fee Description Amount C ount Discount Sales Tax Total Fee Value MC Alt Res 10 5.00 1.00 0.00 0.00 5.00 Cancel Reason: Moving to Tennessee GIL Code Description Account Number Cst Cntr Description Acco Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 118.50 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 04/23/08 05:30:05 by LVA FEES CHANGED ON CANCELLED ITEMS 118.50 DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET,AIIIIOUNT.:PROM CANCELLED =ITEMS 118.50 "TOTAL"AMOUN- r6REF.UNDED Page 1 PASS REFUND RECEIPT Receipt 105977 Payment Date: 04123(08 Household 6175 NEW NET HOUSEHOLD BALANCE 0.00 'Refund of 118.50 Made By JOURNAL -RF With Reference cancel passes All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issue No cash or c dit card refunds. A thorized gnat Date Authorized Signature Date 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. Terms Rob Kirsh 6084 Apple Tree Dr., Ste 1 Date Due Memphis, TN 38115 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 118.50 4123/08 109977 Refund Total 118.50 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Rob Kirsh Allowed 20 6084 Apple Tree Dr., Ste 1 Memphis, TN 38115 In Sum of 118.50 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO #or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1047 109977 4358400 118.50 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 1 -May 2008 nat re 118.50 Business S y i s Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund