HomeMy WebLinkAbout209504 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366286 Page 1 of 1
ONE CIVIC SQUARE CHARLES CAI
CARMEL, INDIANA 46032 3260 HOMESTRETCH DRIVE CHECK AMOUNT: $462.00
CARMEL IN 46032
CHECK NUMBER: 209504
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 462.00 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 829871
Carmel 0 Clay Payment Date: 05/24/12
Clay Household 6817
marks &Recreation
T-7T
Monon Community Center Charles Cai Hm Ph: (317)580 -1834
Carmel IN 46032 MAY 2 4 2012 3260 Homestretch Dr. Wk Ph: (317)337 -5813
Carmel IN 46032 Cell Ph: (317)437-4422
kyuan88 @gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Pass Details
CANCELLATION Refund Of 260.00
-Pass Holder: Jenny Cai Fees Tax Discount Prey Paid Cur Paid Amount Due
Pass Type: 20 -Visit (ESE20V), #153362 0.00 0.00 0.00 0.00 0.00
Valid Dates: 08/09/2011 to 05/24/2012 (Pass Cancellation)
Cancellation Effective: 05/24/2012
Cancel Reason: no longer need ese
CANCELLATION Refund Of 182.00
..Pass Holder: Jenny Cai Fees Tax Discount Prey Paid Cur Paid Amount Due
Pass Type: 20 -Visit (ESE20V), #153363 78.00 0.00 78.00 0.00 0.00
Valid Dates: 08/09/2011 to 05/24/2012 (Pass Cancellation)
Cancellation Effective: 05/2412012
Cancel Reason: no longer need ese
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 20.00
Processed on 05/24/12 09:43:30 by BJJ FEES CHANGED ON CANCELLED ITEMS 442.00
NET AMOUNT FROM CANCELLED ITEMS 442.00
HH BALANCE APPLIED TO THIS RECEIPT 20.00
TOTALAMOUNT REFUNDED 462.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 462.00 Made By REFUND FINAN With Reference 1081 -10- 4358400
All refun are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
A riled Signature Date Authorized Signature Date
Page 1 of 2
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.
Terms
Cai, Charles
3260 Homestretch Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
462.00
5/24/12 829871 Refund
Total 462.00
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.
Cai, Charles Allowed 20
3260 Homestretch Dr.
Carmel, IN 46032
In Sum of
462.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -10 829871 4358400 462.00 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
31 -May 2012
P &,h
Signature
462.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund