HomeMy WebLinkAbout168572 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362474 Page 1 of 1
b ONE CIVIC SQUARE KATHY LATTIMER CHECK AMOUNT: $24.00
CARMEL, INDIANA 46032 10845 BELMONT CIRCLE
INDIANAPOLIS IN 46280 CHECK NUMBER: 168572
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMB IN VOICE NU MBE R AMOUNT DESCRIPTION
1047 4358400 .24.00 PARKS DEPAR'T'MENT REFU
PASS REFUND RECEIPT
Receipt 196526
Payment Date: 10/22/2008
Household 5379
Home Phone: (317)846 -2722
Work Phone: (317)846 -2722
KATHY LATTIMER Monon Center
10845 BELMONT CIRCLE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Pass Details
CANCELLATION Refund Of 24.00
Pass Holder: Kathleen Lattimer Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prem. Yrly Ad R (PRMYRADR), #1156 40.00 0.00 0.00 40.00 0.00
Valid Dates: 06/28/2008 to 06/28/2009 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 40.00 1.00 0.00 0.00 40.00
Cancel Reason: Transfer Pass
G/L C ode Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 24.00 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 10/22/08 09:31:11 by KAS FEES CHANGED ON CANCELLED ITEMS 64.00
DISCOUNT APPLIED AGAINST CANCELLED FEES OAO
SALES TAX CHARGED ON CANCELLED FEES 0.00
SURCHARGE APPLIED AGAINST CANCELLED FEES 40.00-
NETFAMOUNT ,FROM °CANCELLED;ITEMS} 24:00"
T0TICL�AM0UNT°REFfJNDED
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 24.00 Made By 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.
/Z(Z
Authorized Signature Date Authorized Signature Date
I�' �)oO 2- D5.0 UQD�,0 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.
Lattimer, Kathy Terms
10845 Belmont Circle Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22108 196526 Refund 24.00
Total 24.00
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
1 20
Clerk- Treasurer
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Maw
Voucher No. Warrant No.
Lattimer, Kathy_. Allowed 20
10845 Belmont Circle
Indianapolis, IN 46280
In Sum of$
24.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept ept
1047 196526 4358400 24.00 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
2 -Feb 2009
Signature
24.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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