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Home My WebLink About172121 04/30/2009 CITY OF CARMEL, INDIANA VENDOR: 362796 Page 1 of 1 ONE CIVIC SQUARE JAMES BAYNES CARMEL, INDIANA 46032 1629 CENTAUR CIRCLE CHECK AMOUNT: $27.20 LAFAYETTE CO 80026 CHECK NUMBER: 172121 CHECK DATE: 4/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 252086 27.20 REFUNDS AWARDS INDE i PASS REFUND RECEIPT Receipt 252086 D Payrrent Date: 04/21/2009 Household 11950 A PR Home Phone: (317)249 -5262 2 1009 E Work Phone: ISO MIST L A/ S Car el Clay Parks Recreation 701 Y CENTER 123 Central Park Drive East ELIN 46032 Car eIIN 46032 Cen r C,!, e, Ph ne: (317)848 7275 ��o�.P C Fe Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 27.20 Pass Holder: James Baynes Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prm Yr Adult R (PRMYRADR), #13949 137.60 0.00 0.00 137.60 0.00 Valid Dates: 10/02/2008 to 10/02/2009 Pass Cancellation) Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Prem. Yearly Adult R 137.60 1.00 0.00 0.00 137.60 Cancel Reason: Requested by guest 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 27.20 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 04/21/09 15:29:47 by ABK FEES CHANGED ON CANCELLED ITEMS 164.80 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0,00 SURCHARGE APPLIED AGAINST CANCELLED FEES 137.60 NET AMOUNT 27.20 :TOTAL AMOUNTREFUNDED" 27.20., NEW NET HOUSEHOLD BALANCE 0.00 Refund of 27.20 Made By REFUND FINAN With Reference James Baynes refund; for Apr 15 pymt 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 cas or credit card refunds. t Autho ed Si at a Date Authorized Signature Date U 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. Baynes, James Terms 1629 Centaur Circle Date Due Lafayette, CO 80026 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/21109 252086 Refund 27.20 Total 27.20 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6 ,20_ Clerk- Treasurer Voucher o. Warrant No. Baynes, James Allowed 20 1629 Centaur Circle Lafayette, CO 80026 III Sum of 27.20 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund l or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 252086 4358400 27.20 1 hereby certify that the attached invoice(s), or ills) 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 27.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund