HomeMy WebLinkAbout168850 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362554 page 1 of 1
ONE CIVIC SQUARE EMAD ABUHAMDA
CARMEL, INDIANA 46032 2445 HOPWOOD DR CHECK AMOUNT: $110.35
CARMEL W 46032 CHECK NUMBER: 168850
CHECK DATE: 211712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 221487 110.35 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 221487 C`EIVED
Payment Date: 01/22/2009
Hou_iehold 7192 FEB l 2 2009
Home Phone: (317)663 -3423
Work Phone:
BY:
EMAD ABUHAMDA Monon Center
2445 HOPWOOD DR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 110.35
Pass Holder: Emad Abuhamda Fees +Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr Adult R (PRMYRADR), #24581 269.65 0.00 269.65 0.00 0.00
Valid Dates: 05/08/2008 to 05/08/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales T ax Total Fee
Prem. Yearly Adult R 269.65 1.00 0.00 0.00 269.65
Cancel Reason: No tennis courts nor raquet ball courts.
GIL 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 110.35 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 123.00
Processed on 01122/09 11:34:54 by CRB FEES CHANGED ON CANCELLED ITEMS 110.35
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
4kET; AMOU NT;;FROMICANCELLED; =ITEMS: 110:35'
'TOTAL?AMOUNT°REF.UNDED,
NEW NET HOUSEHOLD BALANCE 123.00
Refund of 110.35 Made By REFUND FINAN With Reference
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.
Abuhamda, Emad Terms
2445 Hopwood Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1122109 221487 Refund 110.35
Total 110.35
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.
Abuhamda, Emad Allowed 20
2445 Hopwood Dr
Carmel, IN 46032
In Sum of
110.35
ON ACCOUNT OF APPROPRIATION FOR
904 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1047 221487 4358400 11035 l 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
13 -Feb 2009
Signature
110.35 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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