HomeMy WebLinkAbout167787 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T362362 Page 1 of 1
ONE CIVIC SQUARE MIIN HUI LI
CARMEL, INDIANA 46032 573 HYTHEWAY CHECK AMOUNT: $391.12
WESTFIELD IN 46074 CHECK NUMBER: 167787
CHECK DATE: 1/20/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1047 4358400 217232 391.12 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 217232
Payment Date: 01/12/2009
Household 9462
Home Phone: (317)810 -3760
Work Phone:
RANDINGERSOLL
Carmel Clay Parks &Recreation
111800 PENNSYLVANIA ST. I f I 1 V) I I 1235 Central Park Drive East
CARMEL IN 46032 1. I Carmel IN 46032
C.GtJa Phone: 317 848 -7275
Fed Tax ID #35- 6000972
Pass Details ll
CANCELLATION Refund Of 26.32 .s73 Ill t tcJav GJ e W a
Pass Holder: MlinHui Yi
Fees +Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr Adult R (PRMYRADR), #11039 169.24 0.00 0.00 169.24 0.00
Valid Dates: 07/08/2008 to 07/08/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 169.24 1.00 0.00 0.00 169.24
CANCELLATION Refund Of 364.80
Pass Holder: Sheng YI Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr Adult R (PRMYRADR), #11040 169.24 0.00 0.00 169.24 0.00
Valid Dates: 07/08/2008 to 07/08/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 169.24 1.00 0.00 0.00 169.24
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 391.12 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 01/12/09 16:36:33 by ABK FEES CHANGED ON CANCELLED ITEMS 729.60-
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 338.48-
NET AMOUNT FROM CANCELLED ITEMS 391.12
TOTAL AMOUNT REFUNDED 391.12
NEW NET HOUSEHOLD BALANCE 850.70
Page 1
PASS REFUND RECEIPT
Receipt 217232
Payment Date: 01/12/2009
Household 9462
Refund of 391.12 Made By REFUND FINAN With Reference MiinHui Yi /Sheng Yi
All refunds are subject to S Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash r credit funds.
Autho gnature Date Authorized Signature Date
S
Page 2
ACCOUNTS PAYABLE VOUCHER
1 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.
Li, Win Hui Terms
573 Hytheway Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/09 217232 Refund 391.12
Total 391.12
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.
Li, Miin Hui Allowed 20
573 Hytheway
Westfield, IN 46074
In Sum of
391.12
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Dept
1047 217232 4358400 391.12 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
391.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund