HomeMy WebLinkAbout175887 06/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363197 Page 1 of 1
ONE CIVIC SQUARE MARIA SEAGER
CARMEL, INDIANA 46032 15520 MARRETTA CIRCLE CHECK AMOUNT: $211.36
'yC•' CARMEL IN 46032 CHECK NUMBER: 175887
CHECK DATE: 8/6/2009
DEPARTMENT A CCOUN T PO NUM INV NUM AMOUNT DESCRIP
1047 4358400 310675 211.36 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 310675
Payment Date: 07/28/2009
Household 24747 1
Home Phone: (317)569 -7729 J Z
Work Phone: 1Q�g
MARIA SEAGER Monon Center
15520 MARRETTA CIRCLE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 211.36
Pass Holder: Maria Seager Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr Adult R (PRMYRADR), #57869 168.64 0.00 168.64 0.00 0.00
Valid Dates: 02/16/2009 to 02/16/2010 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem. Yearly Adult R 168.64 1.00 0.00 0.00 168.64
Cancel Reason: Surgery
GIL Code Description Account Number Cst Cntr Des cription Ac count Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 211.36 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 CREDIT HOUSEHOLD BALANCE 15.00
Processed on 07128/09 08:32:23 by RDG FEES CHANGED ON CANCELLED ITEMS 211.36
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
IN ET`AMQUNT- FRO t4 CAN CELLED ITEMS: 211.36:
T0;1'AL'AMOUNT"REFUNDED, 211;36:':
NEW NET CREDIT HOUSEHOLD BALANCE 15.00
Refund of 211.36 Made By REFUND FINAN With Reference
All refunds are subject o State 66r of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued -N,�h or fe i card` ds.
Authorized g ature Date Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER
IRA 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.
Seager, Maria Terms
15520 Marretta Circle Date Due
Carmel, I N 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7128/09 310675 Refund 211.36
Total 211.36
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.
Seager, Maria Allowed 20
15520 Marretta Circle
Carmel, IN 46032
In Sum of
211.36
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1447 310675 4358400 211.36 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
30 -Jul 2009
Signature
211.36 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund