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181445 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 363768 Page 1 of 1 I. i ONE CIVIC SQUARE CRAIG ZANN i. i•a CARMEL, INDIANA 46032 2736 HEATHERMOOR PARK DRIVE SOUTH CHECK AMOUNT: $36.00 =t WESTFIELD IN 46074 CHECK NUMBER: 181445 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 36.00 REFUND PASS REFUND RECEIPT Receipt 368945 Payment Date: 12/30/09 Household 10255 Monon Center Craig Zann Hm Ph: (317)733 -1328 Carmel IN 46032 2736 Heathermoor Park Dr S Wk Ph: (800)421 -0180 Westfield IN 46074 Cell Ph:(317)371 -8980 conniezann ©aol.com Phone: (317)848 -7275 FedTax ID #35- 6000972 Refund Details Oriq Bal Refund New Bal Module: Pass Management 36.00- 36.00 0.00 G/L Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 36.00 DR 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 36.00 Processed on 12/30/09 07:27:46 by JAB NEW REFUND AMOUNT 36.00 I TOTAL REFUNDABLE AMOUNT 36.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 36.00 Made By REFUND FINAN With Reference chk refund All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N ash or credit card refunds. Ai thonz-d S !nature Date Authorized Signature Date 0 O 3' U o Y F id,' DEC 3 i >'mm eiv\ Ovvq \,,oArAn V o 161 VS\V J G) K. k V\ s -f v I/ j A-4o \A& c■A* Page 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. Zann, Craig Terms 2736 Heathermoor Prk Dr S Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 36.00 12/30/09 368945 Refund Total 36.00 I 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. Zann, Craig Allowed 20 2736 Heathermoor Prk Dr S Westfield, IN 46074 In Sum of 36.00 ON ACCOUNT OF APPROPRIATION FOR 14P- fegram it 5 PO# or Board Members INVOICE NO. ACCT #/TITLE AMOUNT Dept 4046— 368945 4358400 36.00 .I hereby certify that the attached invoice(s), or la al 3 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 Signature 36.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund