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Home My WebLink About174428 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