HomeMy WebLinkAbout177860 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363372 Page 1 of 1
ONE CIVIC SQUARE JANINE TALBERT
0 CHECK AMOUNT: $522.00
CARMEL, INDIANA 46032 14233 SAFFRON CIRCLE
CARMEL IN 46032 CHECKNUMBER: 177860
CHECK DATE: 9129/2009
DEPARTMENT ACCOUNT PO N UMBE R INVOICE NUMBER T AMO UNT DESCRIPTION
1047 4358400 336475 522.00 REFUNDS AWARDS TNDE
1
r` PASS REFUND RECEIPT
Receipt 336475
Payment Date: 09/14/2009
a
Household 2736`
Home Phone. (317)843 -9630 SEP
Work Phone: (317)871 -7630 2��
JANINE TALBERT Monon Center
14239 SAFFRON CIR Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 522.00
Pass Holder: Janine Talbert Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: PI Yr HH R (PRMYRHHR), #13339 174.00 0.00 174.00 0.00 0.00
Valid Dates: 10/03/2008 to 10/03/2009 Pass Cancellation)
Fee Details: Fee Des Amount Count Discount S ales Tax Total Fee
Prem Yrly HH Res 174.00 1.00 0.00 0.00 174.00
G/L Code Description Account Number Cst C ntr Descri Account Number Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 522.00 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 09/14/09 11:42:11 by MAK FEES ADJUSTED ON CHANGED ITEMS 522.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
V NET AMOUNT'F,ROM.CHANGED.ITEM5 522 00
;;r7OTALrAMOUNT,REF,UNDEDf a;r3 .3 AE 522.00�%
y NEW NET HOUSEHOLD BALANCE 0.00
Refund of 522.00 Made By REFUND FINAN With Reference
All refunds are subjec o State nonts claim rocedure and may take 4 -6 weeks to process. A check will be
�ed- .cash or e it card r
Authorized Signature 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.
Talbert, Janine Terms
14239 Saffron Cir Date Due
t Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9114109 336475 Refund 522.00
Total I 522.00
i 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Talbert, Janine Allowed 20
14239 Saffron Cir
Carmel, IN 46032
In Sum of
522.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PC# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 336475 4358400 522.00 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
24 -Sep 2009
Signature
522.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund