HomeMy WebLinkAbout167786 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T356029 Page 1 of 1
ONE CIVIC SQUARE LAURA KOLIC CHECK AMOUNT: $348.00
CARMEL, INDIANA 46032 5270 LAKE POINT DRIVE
CARMEL IN 46033 CHECK NUMBER: 167786
CHECK DATE: 1/2012009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 215670 348.00 REFUNDS AWARDS INDE
CC
PASS REFUND RECEIPT
Receipt 215670
Payment Date: 01/06/2009
Household 10143
Home Phone: (317)581 -0490
Work Phone:
LAURA KOLIC Monon Center
5270 LAKE POINT DRIVE Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
JAN
L.�92'009 Fed Tax ID #35- 6000972
i
I
Pass Details
CANCELLATION Refund Of 348.00
Pass Holder: Laura KOlic Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr HH R (PRMYRHHR), #11621 0.00 0.00 0.00 0.00 0.00
Valid Dates: 07/15/2008 to 07/15/2009 Pass Cancellation)
Cancel Reason: pass exp in July. guest didnt know it would renew.
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 348.00 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 01/06/09 15:39:32 by TLP FEES CHANGED ON CANCELLED ITEMS 348.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 348.00
TOTAL AMOUNT REFUNDED 348.00
b' l VV NEW NET HOUSEHOLD BALANCE 0.00
Refund of 348.00 /Made By REFUND FINAN With Reference pass exp
All refund are s `'e t to State Board of Accounts claim procedure and may t ke 4 -6 eks to process. A check will be
iss a cas or dit card refunds.
1
A 11
orized ure I Date Authorized Signature Date
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.
Kolic, Laura Terms
5270 Lake Point Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
116109 215670 Refund 348.00
Total 348.00
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.
Kolic, Laura Allowed 20
5270 Lake Point Dr
Carmel, IN 46033
In Sum of
348.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 215670 4358400 348.00 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
15 -Jan 2009
Signature
348.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund