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Home My WebLink About170858 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: T362047 Page 1 of 1 ONE CIVIC SQUARE REBECCA GILBERT CHECK AMOUNT: $376.36 CARMEL, INDIANA 46032 525 MELARK CR CARMEL IN 46032 CHECK NUMBER: 170858 CHECK DATE: 4/16/2009 J DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION °L -1047 4358400 376.36 PARKS DEPARTMENT REFU I PASS REFUND RECEIPT Receipt 243800 Payment Date, 03/31/2009 fl r ig Household 13197 t Home Phone: (317)844 -4243 Work Phone: (317)848 -7275 APR 0 7 2009 BY. REBECCA GILBERT Monon Center 525 MELARK DR Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 208.70 Pass Holder: Becky Gilbert Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly GF Res Unli (YGFRU), #51922 66.30 0.00 66.30 0.00 0.00 Valid Dates: 01/02/2009 to 01/02/2010 Pass Cancellation) Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Yearly GF Res Unlimi 66.30 1.00_ ._.0.00.__ 0.00 66.30 Cancel Reason: New Fitness Schedule does not permit taking any classes with my work schedule at the �J Monon Center. 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 208.70 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 03/31109 13:46:42 by CRB FEES CHANGED ON CANCELLED ITEMS 208.70 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET °AM0UNTPF>ROMXANCELEE1311I Ti. EMS 208 70r :TiOTAL�AMOUNTAREFUNDED 2208:7O NEW NET HOUSEHOLD BALANCE 0.00 Refund of 208.70 Made By REFUND FINAN With Reference ch 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. Autho ignature Date uthorized Signature Date Page 1 2ZO -g35Fyao PASS REFUND RECEIPT R4 aipt 245470 g� Payment Date: 04/06/2009 Q 1� Household 13197 Home Phone: (317)844 -4243 APR 0 7 2 009 Work Phone: (317)848 -7275 BY: REBECCA GILBERT Monon Center 525 MELARK DR Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 167.66 Pass Holder: Eric Gilbert Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly FT Alt Res (YFTAR), #51026 72.34 0.00 72.34 0.00 0.00 Valid Dates: 12/17/2008 to 12/17/2009 Pass Cancellation) Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Yearly Fitness Adult 72.34 1.00 0.00 0.00 72.34 Cancel Reason: witching to a new gym G/L Code Descri Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 167.66 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 04/06/09 10:10:50 by RDG FEES CHANGED ON CANCELLED ITEMS 167.66 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM;CANCELLEDiITEMS 167f66 TOTAL 'AMOUNT REF..UNDED:,.:.: NEW NET HOUSEHOLD BALANCE 0.00 Refund of 167.66 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. qcloq Authorized Signature Date Authorized Signature Date C L_._ 7 1ou f 1 7=160 —e00 Page #1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL jAn 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. Gilbert, Rebecca Terms 525 Melark Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/31/09 243800 Refund 208.70 4/6/09 245470 Refund 167.66 Total 376.36 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 \J Voucher No. Warrant No. Gilbert, Rebecca Allowed 20 525 Melark Dr Carmel, IN 46032 In Sum of 376.36 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1047 243800 4358400 208.70 1 hereby certify that the attached invoice(s), or 1047 245470 4358400 167.66 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 10 -Apr 2009 Signature 376.36 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund