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Home My WebLink About171845 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362801 Page 1 of 1 ONE CIVIC SQUARE THOMAS FOUST CARMEL, INDIANA 46032 4814 BRIARWOOD TRAIL CHECK AMOUNT: $96.00 CARMEL IN 46032 �rozo CHECK NUMBER: 171845 CHECK DATE: 4/2912009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1047 4358400 251789 96.00 REFUNDS AWARDS INDE 'ivl m E T PASS REFUND RECEIPT Receipt 251789 Payment Date: 04/20/2009 A P R 2 2 2009 Household 11135 Home Phone: (317)869 -7602 BY: WorY Phone: THOMAS FOUST Monon Center 4814 BRIARWOOD TRAIL Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details MEMBERSHIP CHANGE Refund Of 96.00 Pass Holder: Thomas Foust Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prm Yr HH R (PRMYRHHR), #25382 371.00 0.00 371.00 0.00 0.00 Valid Dates: 05/23/2008 to 05/23/2009 Pass Cancellation) Fee Details: Fee Description Amount Count Discount S ales Tax Total Fee Prem Ydy HH Res 0.00 1.00 0.00 0.00 0.00 Prem Yrly HH Res 371.00 1.00 0.00 0.00 371.00 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 96.00 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 04/20/09 12:58:36 by SLR FEES ADJUSTED ON CHANGED ITEMS 96.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 NET=AMOUNT FROM •CHANGED ITEMS,? „'.96:00 „TOTAL MOUN, REFUNDED-- NEW NET HOUSEHOLD BALANCE 0.00 Refund of 96.00 Made By REFUND FINAN With Reference check refund 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 Autho A ed Signature Date Page 1 a� Sys 7 loo z 'CO 4"rec vkv;,t 5 pr''ar bi )fed w 64rq" t k 5e_< 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. Foust, Thomas Terms 4814 Briarwood Trail Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/20/09 251789 Refund 96.00 Total 96.00 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. Foust, Thomas Allowed 20 4814 Briarwood Trail Carmel, IN 46032 In Sum of 96.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 251789 4358400 96.00 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 22 -Apr 2009 Signature 96.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund