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Home My WebLink About175121 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363073 Page 1 of 1 ONE CIVIC SQUARE RENEE SCHMUTTE CHECK AMOUNT: $515.74 CARMEL, INDIANA 46032 14549 BRACKNEY LANE CARMEL IN 46032 CHECK NUMBER: 175121 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 515.74 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 291534 Payment Date: 06/29/2009 Household 14855 Home Phone: (317)818 -0470 Work Phone: (317)345 -4169 JUL 1 p 2009 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 "515 74 Pass Holder: Renee= Schrntafte Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: Prm Yr HH R (PRMYRHHR), #51601 524.26 0.00 524.26 0.00 0.00 Valid Dates: 12/27/2008 to 12/27/2009 Pass Cancellation) Fee Details: Fe_e.Descriplion-........... Amount Count Discount Sales Tax Total_Fee Prem Yrly HH Res 524.26 1.00 0.00 0.00 524.26 CanceLReason MDVtng y GIL Code Description_ Account Number Cst_C,n1r,.... Description Account Number _Amoun 99 t 9999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 515.74 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 5.00 Processed on 06/29/09 18:38:16 by MS FEES CHANGED ON CANCELLED ITEMS 515.74 DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00 SALES TAX CHARGED ON CANCELLED FEES 0.00 NET AMOUNT FROM CANCELLED ITEMS 515.74- TOTAL AMOUNT REFUNDED 515.74 NEW NET CREDIT HOUSEHOLD BALANCE 5.00 Refund of 515.74 Made By RND FINN With Reference All refunds are subject to State Board of Acet�n4�s claim procedure and may take 4 -6 weeks to process. A check will be issue d. o -cash or credit card refunds ti 1 Axilfi"A 2ed Si nature L Date Authorized Signature Date 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. 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 6/29/09 291534 Refund 515.74 Total 515.74 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$ 515.74 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 291534 4358400 515.74 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 16 -Jul 2009 Signature 515.74 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund