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Home My WebLink About167787 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