HomeMy WebLinkAbout174428 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363038 Page 1 of 1
ONE CIVIC SQUARE LYNNE MICLAIR
CARMEL, INDIANA 46032 8830 APPLEBY LANE CHECK AMOUNT: $60.00
INDIANAPOLIS IN 46256 CHECK NUMBER: 174428
CHECK DATE: 7/8/2009
D EPARTM E NT ACCOUN PO NUMBER I NU AM OUNT D ESCRIPTION
1047 4358400 60.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT 1!',
Receipt 136735
Payment Date: 06/21/2008 JUN 2
Household 19667 2009
Home Phone: (317)585 -0018
Work Phone:
LYNNE NICLAIR Carmel Clay Parks Recreation
8830 APPLEBY LANE 1235 Central Park Drive East
INDIANAPOLIS IN 46256 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 60.00
Pass Holder: Lynne Niclair Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Vu AQ Alt Non10 (VAQAN10), #28792 0.00 0.00 0.00 0.00 0.00
Valid Dates: 06/19/2008 to 12/31/2099 Pass Cancellation)
Pass Visit Info: Number of Visits: 10
Fee Details: Fee Description Amount Count Discount Sales Tax Total Fee
Value Aquatics Adult 0.00 1.00 0.00 0.00 0.00
Cancel Reason: misleading information in brochure about indoor lap swim available on Saturdays
G/ Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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 06/21/08 17:45:14 by KLS FEES CHANGED ON CANCELLED ITEMS 60.00
DISCOUNT APPLIE AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
:NET'AMOUNT ":FROM:CANCEL'LED ITEMS, 6000,7
.TOTAL =AMOUNTmREF.UNDED 60:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By JOURNAL -RF With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
C l
Authorized 911,9nature 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.
Niclair, Lynne Terms
8830 Appleby Lane Date Due
Indianapolis, IN 46256
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6121/08 136735 Refund 60.00
Total 60.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Niclair, Lynne Allowed 20
8830 Appleby Lane
Indianapolis, IN 46256
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 136735 4358400 60.00 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
2 -Jul 2009
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund