170245 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: 353745 Page 1 of 1
4` ONE CIVIC SQUARE JEANIE STONE
CARMEL, INDIANA 46032
12691 HONORS DRIVE CHECK AMOUNT: $458.00
CARMEL IN 46033 CHECK NUMBER: 170245
CHECK DATE: 3/31/2009
DEPARTMENT AC PO NUMBER INVOI NUMBER AMOUNT DESCRIPT
1046 4358400 232921 458.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 232921
Payment Date: 02/26/2009
Household 2942
,Home Phone: (317)844 -2892 L11AR 4 8 2009 Work Phone: (317)651 -7304
JEANIE STONE Prairie Trace Elemen
12691 HONORS DR. 14200 North River Road
CARMEL IN 46033 Carmel IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 229.00
Pass Holder: Owen Stone Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Mar Month PM (ESEMMP), #58227 0.00 0.00 0.00 0.00 0.00
Valid Dates: 03/02/2009 to 04/02/2009 Pass Cancellation)
Cancel Reason: will not be attending in March
CANCELLATION Refund Of 229.00
Pass Holder: TriSten Stone Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Mar Month PM (ESEMMP), #58228 0.00 0.00 0.00 0.00 0.00
Valid Dates: 03/02/2009 to 04/02/2009 Pass Cancellation)
Cancel Reason: will not be attending in March
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 458.00 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 02126/09 12:43:21 by SLS FEES CHANGED ON CANCELLED ITEMS 458.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 458.00
TOTAL AMOUNT REFUNDED, 458.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 458.00 Made By REFUND FINAN With Reference
Page 1
PASS REFUND RECEIPT
Receipt 232921
Payment Date: 02/26/2009
Household 2942
All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card refunds.
A thori d Signature Date Authorized Signature Date
'7
-I
Page 2
ACCOUNTS PAYABLE VOUCHER
w 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.
Stone, Jeanie Terms
a
12691 Honors Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/09 232921 Refund 458.00
Total 458.00
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.
Stone, Jeanie Allowed 20
12.691 Honors Dr
Carmel, IN 46033
In Sum of
458.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 232921 4358400 458.00 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
25 -Mar 2009
Signature
458.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund