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Home My WebLink About168655 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362479 Page 1 of 1 0 ONE CIVIC SQUARE NADINE PENMAN CHECK AMOUNT: $7.00 CARMEL, INDIANA 46032 5103 ST CHARLES PLACE CARMEL IN 46033 CHECK NUMBER: 168655 CHECK DATE: 2/4/2009 DEPARTM ACCO PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 7.00 PARKS DEPARTMENT REFU t e _9 PASS REFUND RECEIPT Receipt 185825 Payment Date: 09/05/2008 Household 11627 Home Phone: (317)815 -8330 Work Phone: NADINE PENMAN Monon Center 5103 ST. CHARLES PLACE Carmel IN 46032 M CARMEL IN 46033 Phone: (317)848-7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 7.00 Pass Holder: Nadine Penman Fees +Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu AQ Alt ReS10 (VAQAR10), #23059 0.00 0.00 0.00 0.00 0.00 Valid Dates: 04/08/2008 to 12/31/2099 Pass Cancellation) Pass Visit info: Number of Visits: 10 Cancel Reason: N/A The fol{owing item reflects a payment towards a previous receipt Pass Holder: Nadine Penman Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Vu AQ Yth ReS10 (VAQYR10), #23060 25.00 0.00 0.00 25.00 0.00 Valid Dates: 04/08/2008 to 12/31/2099 Pass Change) Pass Visit Info: Number of Visits: 10 Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Value Aquatics Youth 25.00 1.00 0.00 0.00 25.00 G/L Co Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 7.00 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 33.00 Processed on 09/05/08 11:33:24 by EMB FEES CHANGED ON CANCELLED ITEMS 40.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET'AMOUNtEROWCANCELLED ITEMS, 40:00= FEES ADJUSTED ON CHANGED ITEMS 0.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 ,NET °AMOUNT FROM CHANGEDITEMS 0:00 Page 1 PASS REFUND RECEIPT Receipt 185825 Payment Date: 09/05/08 Household 11627 HH BALANCE APPLIED TO THIS RECEIPT 33.00 ,TOTAL.AMOUNT�REFUNDED q- 7.00, NEW NET HOUSEHOLD BALANCE 0.00 Refund of 7.00 Made By REFUND FINAN With Reference Payment of 25.00 Made By Pass Management Credit Balance 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. T -eg5 Pam 2W Authorized Signature Date Authorized Signature Date 4- 7. 330. 1 �S o o�� Page 2 ACCOUNTS PAYABLE VOUCHER A 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. Penman, Nadine Terms 5103 St Charles Place Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/5/08 185825 Refund Total D I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same accordance with IC 5- 11- 10 -1.6 1 20 Clerk Treasurer Voucher No. Warrant No. Penman, Nadine Allowed 20 5103 St Charles Place Carmel, IN 46033 In Sum of Y 7 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1047 185825 4358400 r f, QD I 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 2 -Feb 2009 Signature ,QQ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund