HomeMy WebLinkAbout174420 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363036 Page 1 of 1
0 ONE CIVIC SQUARE KAREN MANGIA CHECK AMOUNT: $143.33
CARMEL, INDIANA 46032 11450 MEARS DRIVE
ZIONSVILLE IN 46077 CHECK NUMBER: 174420
CHECK DATE: 7/8/2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 143.33 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 267619
Payment Date: 06/02/2009
Household 16967
Home Phone: (317)490 -7781 JON 2 4 2009
Work Phone: (317)816 -5221
j-
KAREN MANGIA Monon Center
11450 MEARS DR Carmel IN 46032
ZIONSVILLE IN 46077
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 143.33
Pass Holder. Thom England Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Alt. Res (YFTAR), #22672 96.67 0.00 96.67 0.00 0.00
Valid Dates: 11/11/2008 to 03/30/2010 Pass Cancellation)
Fee Details: Fee Description Amount C ount Di Sales Tax Total F
Yearly Fitness Adult 96.67 1.00 0.00 0.00 96.67
Cancell Reason: Work Schedule
-7-1-7 7—
GIL Code Description Account Number Cst Cntr Descrip tion Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 143.33 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 06102/09 09:25:05 by RDG FEES CHANGED ON CANCELLED ITEMS 143.33
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
�NET3AMOUNT FROM'GANCELLED4ITEMS'* w 143:33
iTOTAL','AMOUNT.:REFl7NDED .x! 3.33:
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 143.33 de By REFUND FINAN With Reference
All refunds ub'e to State Board of Accounts claim procedure and may take 4 -6 weeks to proce s. ,A check wi I be
issued. No cash or credit card refunds.
Authorized Signature Date Authorized Signature ate
GL 1� ��vV ��1 l J S `100 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.
Terms
Mangia, Karen
Date Due
11450 Mears Drive
Zionsville, IN 46077
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
143.33
612109 267619 Refund
Total 143.33
or bill(s) is (are) true and correct and I have audited same in accordance
I hereby certify that the attached invoice(s),
with 1C 5- 11- 10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Mangia, Karen Allowed 20
11450 Mears Drive
Zionsville, IN 46077
In Sum of
143.33
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 267619 4358400 143.33 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 -Jul 2009
Signature
143.33 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund