HomeMy WebLinkAbout169831 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: T362667 Page 1 of 1
ONE CIVIC SQUARE ROBERT BRODY
CHECK AMOUNT: $20.00
o CARMEL, INDIANA 46032 1805 BRAEBURN DR
CARMEL IN 46032
CHECK NUMBER: 169831
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 20.00 REFUNDS AWARDS INDE
FACILITY REFUND RECEIPT Purdlese
P.O. IIIII
Receipt 234897 4j
Payment Date: 03/03/2009 ML 0 0
Household 7032
Home Phone: (317)575 -6328 r edU,�
Work Phone: (317)274 -1211 p
ROBERT BRODY Monon Center
k 1805 BRAEBURN DR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Facility Reservation Details
RESERVATION CHANGE Refund Of 20.00
Facility: Monon Center, Party Room B
Reserv. Contact:
Reserv. Number: 7707 Status: Firm
Purpose: Brody Birthday Party
Anticipated Count: 12
Date Day Time Fees Tax Discount Prev Paid Cur Paid Amount Due
02/27/2009 Fri 5:OOP to 7:OOP 250.00 0.00 250.00 0.00 0.00
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Party Room Res 250.00 1.00 0.00 0.00 250.00
Special Questions: How did you hear about the Monon Center: Attended another event
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 20.00 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
P ec ssed on 03/ ./09 0 by ADW FEES ADJUSTED ON CHANGED ITEMS 20.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
FROM CHANGED ITEMS 20.00-
1 ll TOTAL AMOUNT REFUNDED 20:00
1 NEW NET HOUSEHOLD BALANCE 0.00
ef 20.00 Made y �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.
11 21 7 10
Page 1
FACILITY REFUND RECEIPT
Receipt 234897
Payment Date: 03/03/2009
Household 7032
Authorized Signature Date Authorized Signature Date
MAR g 2 2009
B Y
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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Brody, Robert Terms
1805 Braeburn Dr Date Due
t' Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/3/09 234897 Refund 20.00
Total 20.00
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
,20
Clerk- Treasurer
Voucher No. Warrant No.
Brody, Robert Allowed 20
1805 Braeburn Dr
Carmel, IN 46032
In Sum of
4 20.00-
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 234897 4358400 20.00 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
12 -Mar 2009
I PACJ� MMIwau
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund