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Home My WebLink About168366 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362468 Page 1 of 1 r ONE CIVIC SQUARE WALTER BLEWITT CARMEL, INDIANA 46032 5752 BRIDGETON LANE CHECK AMOUNT: $13.00 CARMEL IN 46033 CHECK NUMBER: 168368 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT P O NUMBER IN NUMBER AMOUNT DESCRIPTION 1047 4358400 13.00 PARKS DEPARTMENT REFU g. PASS REFUND RECEIPT Receipt 186036 Payment Date: 09/06/2008 Household 18221 Home Phone: (317)571 -9719 Work Phone: (317) WALTER BLEWITT Morton Center 5752 BRIDGETON LANE Carmel IN 46032 CARMEL IN 46033 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 13.00 Pass Holder: Troy Blewitt Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly FT Alt Res (YFTAR), #24935 60.00 0.00 60.00 0.00 0.00 Valid Dates: 05/14/2008 to 05/14/2009 Pass Cancellation) Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee Yearly Fitness Adult 60.00 1.00 0.00 0.00 60.00 Cancel Reason: came in august to cancel but was not cancelled, therefore charged in september. The following item reflects a payment towards a previous receipt Pass Holder: Erin Blewitt Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Yly FT Alt Res (YFTAR), #28939 40.00 0.00 33.00 7.00 0.00 Valid Dates: 06/21/2008 to 06/21/2009 Pass Change) Auto -Debit Details: 1 Current/Previous Bill(s) Totaling $20.00 10 Future Bill(s) Totaling $200.00 Final Cumulative Fees Totaling $240.00 Fee Details: Fee Description Amount Count Discount Sales Tax Tot Fee Yearly Fitness Adult 40.00 1.00 0.00 0,00 40.00 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 13.00 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 7.00 Processed on 09/06108 16:10:08 by ARH FEES CHANGED ON CANCELLED ITEMS 20.00 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 14 ET AMOUNT F.ROWCANCELUED, ITEMS FEES ADJUSTED ON CHANGED ITEMS 0.00 DISCOUNT APPLIED AGAINST THESE FEES 0.00 SALES TAX CHARGED ON CHANGED FEES 0.00 Page 1 y PASS REFUND RECEIPT Receipt #F 186036 Payment Date: 09106/08 Household 18221 pNE AMOUN7.FROM 'CHANGED „ITEMS' g "0 00 HH BALANCE APPLIED TO THIS RECEIPT 7.00 (TOTAL; =AM0UNTil2EFUNDED NEW NET HOUSEHOLD BALANCE 0.00 Refund of 13.00 Made By REFUND FINAN With Reference Payment of 7.00 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. pok-r 1 2-U Authorized Signature Date Authorized Signature Date C) �)quct�o Page 2 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 whore, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Blewitt, Walter Terms 5752 Bridgeton Lane Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 916!08 186036 Refund 13.00 Total 13.00 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. Blewitt, Walter Allowed 20 5752 Bridgeton Lane Carmel, IN 46033 In Sum of 13.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 186036 4358400 13.00 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 2 -Feb 2009 Signature 13.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund