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
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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