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Home My WebLink About175885 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363073 Page 1 of 1 ONE CIVIC SQUARE RENEE SCHMUTTE CARMEL,, INDIANA 46032 14549 BRACKNEY LANE CHECK AMOUNT: $193.65 CARMEL IN 46032 CHECK NUMBER: 175885 CHECK DATE: 8/6/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 1047 4358400 287075 193.65 REFUNDS AWARDS INDE PASS REFUND RECEIPT Receipt 287075 Payment Date: 06/26/2009 Household 14855 Home Phone: (317)818 -0470 Work Phone: (317)345 -4169 RENEE SCHMUTTE Monon Center 14549 BRACKNEY LANE Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 193.65 Pass Holder: Alex V1llianos Fees +Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prtn Yr Adult R (PRMYRADR), #51682 186.35 0.00 186.35 0.00 0.00 Valid Dates: 12/29/2008 to 12/29/2009 Pass Cancellation) Fee Details: Fee Description,, Amount Count Discoun( Sales, Tax Total Fee Prem. Yearly Adult R 186.35 1.00 0.00 0.00 186.35 Cancel Reason: Moved G /-L_ Code Description Account Number_ Csl Cntr Descriplign,. Account Number_ Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 19165 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 wriuen to the customers. PRFVIOUS NET CREDIT HOUSEHOLD BALANCE 5.00 Processed on 06/26109 06:33:39 by ROG FEES CHANGED ON CANCELLED ITEMS 193.65 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 193.65- i TOTAL AMOUNT REFUNDED 193.r5 T (4— r. NEW NET CREDIT HOUSEHOLD BALANCE 5.00 Refund of 193.65 Made By REFUND FINAN With Reference All refunds are subject to State Board of Accounts clainl procedure and may take 4 -6 weeks to process. check v 111 be issued. No cash Or credit card refunds. Authorized Signature Date Authorized Signature Date Page 4 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. Schmutte, Renee Terms 14549 Brackney Lane Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/26/09 287075 Refund 193765 Total 193.65 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. Schmutte, Renee Allowed 20 14549 Brackney Lane Carmel, IN 46032 In Sum of 193.65 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 287075 4358400 193.65 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 �P'& an n� Signature 193.65 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund