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HomeMy WebLinkAbout165443 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362064 Page 1 of 1 ONE CIVIC SQUARE NICOLE STARR CHECK AMOUNT: $93.44 o CARMEL. INDIANA 46032 1208 DONNYBROOK DR CARMEL IN 46032 CHECK NUMBER: 165443 CHECK DATE: 10/29/2008 DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION 1047 4358400 193202 93.44 REFUNDS AWARDS INDE Yl ig, e� PASS REFUND RECEIPT CIFTVFD Receipt 193202 Payment Date: 10/09/2008 OCT 1 4 2008 Household 14905 Home Phone: (317) Work Phone: BY' NICOLE STARR Monon Center 1208 DONNYBROOK DRIVE Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 93.44 Pass Holder: Nicole Starr Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prem. Yrly Ad R (PRMYRADR), #18778 286.56 0.00 286.56 0.00 0.00 Valid Dates: 01/07/2008 to 01/07/2009 Pass Cancellation) Fee Details: Fee Description Amount Count Dis count Sale Tax Total Fee Prem. Yearly Adult R 286.56 1.00 0.00 0.00 286.56 Cancel Reason: Nicole became a part-time employee on 10/7/2008 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 93.44 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 10/09/08 10:44:54 by CEK FEES CHANGED ON CANCELLED ITEMS 93.44 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 C' 7 j(JO d3 (p b Gl SALES TAX CHARGED ON CANCELLED FEES 0.00 Ann,,_C r NET AMOUNT FROM CANCELLED ITEMS TOTAL AMOUNT AMOUNT REFUNDED 93.44 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 93.44 Made By REFUND FINAN With Reference pass cancel All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. Authorized Signature Date Authorized Signature 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. Starr, Nicole Terms 1208 Donnybrook Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/9/08 193202 Refund 93.44 Total 93.44 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. Starr, Nicole Allowed 20 1208 Donnybrook Dr Carmel, IN 46032 In Sum of 93.44 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 193202 4358400 93.44 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 14 -Oct 2008 Signature 93.44 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund