HomeMy WebLinkAbout169380 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362594 Page 1 of 1
ONE CIVIC SQUARE JANET CARCERINO CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 ma SPRUCE OR
CARMEL IN 46033 CHECK NUMBER: 169380
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMB AMOUNT DESCRIPTION
1047 4358400 230375 125.00 REFUNDS AWARDS INDE
I
t PASS REFUND RECEIPT
'I
Receipt 230375
Payment Date: 02117/2009
Household 22047
Home Phone: (317)571 -8307
Work Phone: Flog 2 2009
BY:
JANET CARCERINO Monon Center
1778 SPRUCE DRIVE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
Pass Holder: Janet Carcerino Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly AQ Sen Res (YAQSR), #57934 150.00 0.00 0.00 150.00 0.00
Valid Dates: 0211712009 to 0211712010 Pass Transfer from Yly AQ Alt Res)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Yearly Aquatics Seni 150.00 1.00 0.00 0.00 150.00
GIL Code Description Account Number Cst Cntr Description Account Number Amou
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 125.00 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 02(17109 10:39:11 by CRB FEES ADJUSTED ON CHANGED ITEMS 125.00
DISCOUNT APPLIED AGAINST THESE FEES O 0.00
NET FROM/TO TRANSFER TAX 0.00
NETT'4'MOU.NT'ER0M CH, ANGED'ITEMS 125.00
TQTAIs AMQ,I`JNT�REFUNi17EDi '{25.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 125.00 Made By REFUND FINAN With Reference
Payment of 150.00 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.
Authorized Signature Date Authorized Signature Date
Sev�• p r Yea 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.
Carcerino, Janet Terms
1778 Spruce Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2117109 230375 Refund 125.00
Total 125.00
I 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.
Carcerino, Janet Allowed 20
1778 Spruce Drive
Carmel, IN 46033
in Sum of
125.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1047 230375' 4358400 125.00 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
26 -Feb 2009
?!J kt� niz D
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund