249778 09/23/15 I
GLOBAL REFUND RECEIPT
Carmel � Clay
Receipt# 1457708
Payment Date: 09/14/15
r s&Recreaboh Household #: 8507
Monon Community Centergip 2015 Tammy Latterell Hm Ph: (317)569-7218
14..
Carmel IN 46032 14154 Ledgewood Way
Carmel IN 46032 Cell Ph:(317)694-9933
BY: tklatterell@yahoo.com
Phone: (317)848-7275 -
Fed Tax ID#35-6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 38.00- 38.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 38.00
Processed on 09/14/15 @ 10:14:43 by BJJ NEW REFUND AMOUNT(-) 38.00
:TOTAL REFUNDABLE AMOUNT." 38.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 38.00 Made By==>REFUND FINAN With Reference=_> 1082-12-4358400 p,�Jlz
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued2
I
t7z`d Signature Date Authorized Signature Date
Escape Day Passes are non-refundable.
Page# 1 of 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.
Latterell, Tammy Terms
14154 Ledgewood Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/14/15 1457708 Refund $ 38.00
I
Total $ 38.00
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.
Latterell, Tammy Allowed 20
14154 Ledgewood Way
Carmel, IN 46032
In Sum of$
$ 38.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-12 1457708 4358400 $ 38.00 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
I
i
September 17, 2015
Signature
$ 38.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund