250250 10/07/15 I
" CITY OF CARMEL, INDIANA VENDOR: 369951
ONE CIVIC SQUARE JUNLIANG HAD CHECK AMOUNT: $**.....121.50*CARMEL, INDIANA 46032 12799 TRUMAN CT CHECK NUMBER: 250250
CARMEL IN 46032 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 121.50 REFUNDS AWARDS & INDE
I
GLOBAL REFUND RECEIPT
Receipt# 1458097
Cal-MCI 0 IaPayment Date: 09/24/15
Household #: 56292
NfSCS&Recreat!on
Monon Community Center , SEP 2 9 2015 Junliang Hao Hm Ph: (317)721-9393
Carmel IN 46032 12799 Truman Ct. Wk Ph: (317)277-5703
I �r Carmel IN 46032 Cell Ph:(317)721-9393
-- - — - -- junliang.hao@yahoo.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Ono Bal Refund New Bal
Module: Pass Management 121.50- 121.50 0.00
PREVIOUS NET HOUSEHOLD BALANCE 121.50
Processed on 09/24/15 @ 09:48:42 by JAB NEW REFUND AMOUNT(-) 121.50
TOTAL REFUNDABLE AMOUNT 121.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 121.50 Made By=_>REFUND FINAN With Reference=_>parent request;81-10-4358400 refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
issued.
AuTlioGiz Signa ure 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.
Hao, Junliang Terms
12799 Truman Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/24/15 1458097 Refund $ 121.50
Total $ 121.50
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.
Hao, Junliang Allowed 20
12799 Truman Ct
Carmel, IN 46032
In Sum of$
$ 121.50
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICENO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-10 1458097 4358400 $ 121.50 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
e.
October 1, 2015
Signature
$ 121.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund