HomeMy WebLinkAbout179401 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363559 Page 1 of 1
ONE CIVIC SQUARE LEEANNE SCHERZINGER
CARMEL, INDIANA 46032 201 WYNDOTTE DRIVE CHECK AMOUNT: $139.32
;i CARMEL IN 46032 CHECK NUMBER: 179401
CHECK DATE: 11111/2009
DEPARTMENT ACCOUNT P O NUMBER I NUMB AMOUNT DESCRIPTION
1047 4358400 350382 139.32 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 350382
Payment Date: 11102/09
Household 1572
Monon Center Leeanne Scherzinger Hm Ph: (317)848 -7321
Carmel IN 46032 201 Wyndotte Drive
Carmel IN 46032 Cell Ph:
Iss201 @sbcglobal.net
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 139.32
Pass Holder: Leeanne Scherzinger Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Adult (YFTAR), #27724 100.68 0.00 100.68 0.00 0.00
Valid Dates: 05/27/2009 to 06/10/2010 Pass Cancellation)
Cancel Reason: moving to florida
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 139.32 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 11/02/09 15:05:50 by MAK FEES CHANGED ON CANCELLED ITEMS 139.32
NET AMOUNT`,FROM CANCELLED =ITEMS 139:32
TOTAL�<AMOUNT•.REFUNDED 1"39x32;:;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 139.32 Made By REFUND FINAN With Reference
All refunds are subject to S to B r of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or c i rd r u ds.
c
Authorized Signature Date Authorized Signature Date
7 L 6� m
NOV 0 5 2009
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.
Scherzinger, Leeanne Terms
201 Wyndotte Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/09 350382 Refund 139.32
Total Is 139.32
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.
Scherzinger, Leeanne Allowed 20
201 Wyndotte Drive
Carmel, IN 46032
In Sum of
139.32
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 350382 4358400 139.32 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
5 -Nov 2009
Signature
139.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund