HomeMy WebLinkAbout177325 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 358889 Page 1 of 1
1 ONE CIVIC SQUARE LARRY MORRISSEY CHECK AMOUNT: $26.00
CARMEL, INDIANA 46032 3411 E ST CHARLES RD
COLUMBIA MO 65201 CHECK NUMBER: 177325
CHECK DATE: 911512009
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DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 334998 26.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 334998
Payment Datc: 09/09/2009 g
Household 47 )8 1 0
Home Phon 317 848 -5459
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LARRY MORRISSEY Carmel Clay Parks Recreation
3411 E. ST. CHARLES RD 1235 Central Park Drive East
COLUMBIA MO 65201 Carmel IN 46032
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Pass Details
MEMBERSHIP CHANGE Refund Of 13.00
Pass Holder: Larry Morrissey Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: YIy FT Sen Res (YFTSR), #57873 39.00 0.00 39.00 0.00 0.00
Valid Dates: 02/16/2009 to 07/01/2009 Pass Change)
Fee Detaits: Fee Description Amount Count, Discount Sales Tax Total Fee
Yearly Fitness Senio 39.00 1.00 0.00 0.00 39.00
MEMBERSHIP CHANGE Refund Of 13.00
Pass Holder. Phillis Morrissey Fees Tax Discount Prev Paid Cur Paid Amount Due
Pass Type: Yly FT Sen Res (YFTSR), #57872 39.00 0.00 39.00 0.00 0.00
Valid Dates: 02/16/2009 to 07/01/2009 Pass Change)
Fee Details: F ee Description Amount Count Discount Sales Tax Total Fee
Yearly Fitness Senio 39.00 1.00 0.00 0.00 39.00
GIL Code Descrip Account Number Cs Cntr Des cription Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 26.00 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 09109/09 15:07:24 by ABK FEES ADJUSTED ON CHANGED ITEMS 26.00
DISCOUNT APPLIED AGAINST THESE FEES 0.00
SALES TAX CHARGED ON CHANGED FEES 0.00
NET AMOUNT FROM CHANGED ITEMS 26.00
TOTAL AMOUNT REFUNDED 26:00
NEW NET HOUSEHOLD BALANCE 0.00
Page 1
PASS REFUND RECEIPT
Receipt 334998
f' Payment Date: 09/09/2009
Household 24748
Refund of 26.00 Made By REFUND FINAN With Reference Billed after cancel
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.
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Authori d Si j re Date Authorized Signature Date
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Page 9 2
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill 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.
Morrissey, Larry Terms
3411 E St. Charles Rd Date Due
Columbia, MO 65201
Invoice voice Description
Date ;N;u mbe r or note attached invoices) or bill(s)) Amount
26.00
919109 34998 Refund
Total 26.00
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.
Morrissey, Larry Allowed 20
3411 E St. Charles Rd
-Columbia, MO 65201
In Sum of
0
26.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept
1047 334998 4358400 26.00 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
w charge is made were ordered and
received except
10 -Sep 2009
Signature
26.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund