163919 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361829 Page 1 of 1
ONE CIVIC SQUARE RANJIT STANLEY
CARMEL, INDIANA 46032 1084 ARLINGTON COURT CHECK AMOUNT: $41.00
INDIANAPOLIS IN 46280
CHECK NUMBER: 163919
CHECK DATE: 9/17/2008
DEPARTMENT A PO NUMBER INVOICE NUMBE AMO DESCRIPTION
1046 4358400 184798 41.00 REFUNDS AWARDS INDE
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PASS REFUND RECEIPT
Receipt# 184798
Payment Date: 09/02/2008 I
Household 7195 S E P 0 8 mu
Home Phone: (317)575 -1954
Work Phone: (317)902 -6384
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7 BY:
RANJIT STANLEY Monon Center
1084 ARLINGTON COURT Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
Pass Holder: Nithya Stanley Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Aug Month PM (ESEMAP), #38003 134.00 0.00 0.00 134.00 0.00
Valid Dates: 08/12/2008 to 08/29/2008 Pass Transfer from Flat Aug PM)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Aug Monthly PM 134.00 1.00 0.00 0.00 134.00
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 41.00 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 09/02/08 14:17:04 by JEH FEES ADJUSTED ON CHANGED ITEMS 41.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
NET FROM/TO TRANSFER TAX 0.00
NET AMOUNT FROM CHANGED ITEMS
TOTAL AMOUNT AMOUNT REFUNDED 41.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 41.00 Made By REFUND FINAN With Reference
Payment of 134.00 Made By Pass Management Credit Balance
All refunds are subject to State Board of Accounts claim procedure and may take 4-6 weeks to process. A check will be
issued. o cash or credit card refunds.
utho d Signature Date Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized o st s hourkn d of service, uni ts, where
rice performed, uni t, dates service rendered, by
whom, rates per day, number of h rate r
Payee Purchase Order No.
Terms
Stanley, Ranjit Date Due
1084 Arlington Court
Indianapolis, IN 46280
Invoice Invoice
Description Amount
Date Number (or note attached invoice(s) or bill(s))
41.00
912108 184798 Refund
Total 41.00
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.
Stanley, Ranjit Allowed 20
1084 Arlington Court
Indianapolis, IN 46280
In Sum of
41.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 184798 4358400 41.00 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
I
9 -Sep 2008
Signature
41.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund