162061 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: T361269 Page 1 of 1
ONE CIVIC SQUARE JEFF STRETCH CHECK AMOUNT: $54.00
CARMEL, INDIANA 46032 12530 MEETING HOUSE RD
s CARMEL IN 46032 CHECK NUMBER: 162061
CHECK DATE: 7/2312008
D EPARTMENT ACCOUNT PO NUMBER INVOI N UMBER AMOUNT DESCRIPTION
1047 4358400 54.00 PARKS DEPARTMENT REFU
r'
I
I
PASS REFUND RECEIPT
Receipt 147107
Payment Date: 07/08/2008 boa$
Household 15584
Home Phone: (317)816 -1408
Work Phone:
JEFF STRETCH Carmel Clay Parks Recreation
12530 MEETING HOUSE ROAD 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 54.00
Pass Holder: Jeff Stretch Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Vu KZ Mem50 (VKZM50), #19967 21.00 0.00 21.00 0.00 0.00
Valid Dates: 01/26/2008 to 12/31/2099 Pass Cancellation)
Pass Visit Info: Number of Visits: 36
Fee Details: F ee Description Amount Count Discount Sales Tax Total Fee
Value KidZone Member 21.00 1.00 0.00 0.00 21.00
Cancel Reason: moving
GIL Code Description Acco Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 54.00 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 07!08!08 18:03:00 by LVA FEES CHANGED ON CANCELLED ITEMS 54.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
=sNET FROM CANCELLED ITEMS 54:00 =.4
TOTAL'"AM0UNT "REFUNDED`
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 54.00 Made By REFUND FINAN With Reference
All refun re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss No c h or credit card refunds.
Authorized Signature Date Authorized Signature Date
(4 3 Coo
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.
Streich, Jeff Terms
12530 Meeting House Rd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
718108 147107 Refund 54.00
Total 54.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Streich, Jeff Allowed 20
12530 Meeting House Rd
Carmel, IN 48032
In Sum of
j.
r
54.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 147107 4358400 54.00 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
18-Jul 2008
Signature
54.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund