HomeMy WebLinkAbout181398 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 363766 Page 1 of 1
ONE CIVIC SQUARE NANCY SULLIVAN
1 y: 4 CARMEL, INDIANA 46032 9 CONCORD COURT CHECK AMOUNT: $214.72
V CARMEL IN 46032 CHECK NUMBER: 181398
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 214.72 REFUNDS AWARDS INDE
PASS RF=PUNO RECEIPT
Receipt 369635
Ptiyntet t:uatE 12f3'1i09
Hcittsehcid .3589
Monon'C:ente 1 Nancy S lrrt •Ph (317)849 2205
Carmel IN 4& 32 Ft 9 Conrcrd Cot1rt
k' •J r I Carniei !Id 46032 Cell Ph:
suliy;in @ai3l.c:on,
Phone:_(3' 7)848 -727
Tax,I ii #35 6000912
Pass Details
CANCELLATION'- Refund Of 214.72
Pass Holder Nancy Sullivan Fees Tax Discount Prev Pad CUr Paid Amount Qtue
Pass Type UnGrpFit Annual (M UGFA), it1 4248 60.28 0.00 60 28 0.00 t3 DU
.valid Dates: 10/12/2009 to 10/12/2010 Pass Cancellation)
.enzet Re nn}: guest tu'h. pass "wit:h include this benefit of class pas' as of 2010.
GIL Catie Description Account Number. P
Cst Cntr Description Account. Number- An taunt
9:99899 Contto! Account (AP) Enter Cantrot Acc: CNl RI. CI: ntrol A.ra lint (AF' Enter Control Acct here 214.72 QR
The REVE:NUEac.caunt e' DEBITED end the CONTROL.`arcount was CREDITED on the: day of thud refund,
Ftnr ncewrfi have to•DEBIT the CONTROL accauIli. for Il r. atneunws listed abrve after tt:e checks �t t :it ..,fi::.
z l c "ft c ivc i� =l ;s`,5 ....114.72.i
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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.
Sullivan, Nancy Terms
9 Concord Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/09 369635 Refund 214.72
Total 214.72
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.
Sullivan, Nancy Allowed 20
9 Concord Court
Carmel, IN 46032
In Sum of$
214.72
ON ACCOUNT OF APPROPRIATION FOR
707
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
369635 4358400 214.72 I hereby certify that the attached invoice(s), or
9.2 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
7 -Jan 2010
Wjah1/
Signature
214.72 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund