HomeMy WebLinkAbout179014 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363452 Page T of 1
4 i. ONE CIVIC SQUARE CANDACE SHUCK CHECK AMOUNT: $191.56
`i CARMEL, INDIANA 46032 999 N CR 350 E
LOGANSPORT IN 46947 CHECK NUMBER: 179014
CHECK DATE: 1012812009
DE PARTMENT ACCOUNT PO NUMB INVO N UMBER AMOUNT DESCRIPTION
1047 4358400 191.56 REFUND
PASS REFUND RECEIPT
Receipt 347943
Payment Date: 10/22/2009
Household 13696
Home Phone: (317)848 -1087
Work Phone: (317)706 -3184
t
CANDACE SHUCK Monon Center OCT 2 3 2009
999 N CR 350 E Carmel IN 46032
LOGANSPORT IN 46947
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 191.56
Pass Holder: Candace Shuck Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Prm Yr Adult (PRMYRADR), #64951 188.44 0.00 188.44 0.00 0.00
Valid Dates: 04/24/2009 to 04/24/2010 Pass Cancellation)
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Prem, Yearly Adult R 188.44 1.00 0.00 0.00 188.44
Cancel Reason: moved out of town
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 191.56 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 10/22/09 07:58:22 by SAB FEES CHANGED ON CANCELLED ITEMS 191.56
DISCOUNT APPLIED AGAINST CANCELLED FEES O 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
sNET t 191:56-
:TO,TiAL.AMpUNT'REFUNDED 1"'.56
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 191.56 Made By REFUND FIN With Reference
a a Boar Accounts claim procedure and may take 4 -6 weeks to process. A check will be
Ail refunds are subject tq/S't
issue cash or credit c rd refu
Authorized Signature Date Authorized Signature Date
Page 1
r 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.
Shuck, Candace Terms
999 N CR 350 E Date Due
Logansport, IN 46947
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/09 347943 Refund 191.56
Total 191.56
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.
Shuck, Candace Allowed 20
999 N CR 350 E
Logansport, IN 46947
In Sum of
191.56
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 347943 4358400 191.56 l 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
22 -Oct 2009
4 &&2a'2� �L C/
Signature
191.56 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund