182354 02/17/2010 ..a CITY OF CARMEL, INDIANA VENDOR: 363890 Page 1 of 1
ONE CIVIC SQUARE WENDY GLAS CHECK AMOUNT: $624.00
CARMEL, INDIANA 46032 3095 MAQUA COURT
CARMEL IN 46033 CHECK NUMBER: 182354
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 385811 624.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 385811
Payment Date: 02/10/10
Household 14378
Monon Center Wendy Glas Hm Ph: (317)844 -0844
Carmel IN 46032 3095 Maqua Court Wk Ph: (317)625 -3415
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275
bglas @indy.rr.com
Fed Tax ID #35- 6000972
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Refund Details
Ono Bal Refund New Bal
Module: Pass Management 624.00- 624.00 0.00
G/L Code Description Account Number C st Cntr Descriptio Acco Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 624.00 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 624.00
Processed on 02/10110 12:19:08 by JAB NEW REFUND AMOUNT 624.00
TOTAL REFUNDABLE AMOUNT 624.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 624.00 Made By REFUND FINAN With Reference check 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. No' sh or credit card refunds.
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thorizg�J ig ture Date Authorized Signature Date
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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.
Glas, Wendy Terms
3095 Maqua Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2110110 385811 Refund 624.00
Total 624.00
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_
Cleric- Treasurer
Voucher No, Warrant No.
Glas, Wendy Allowed 20
3095 Maqua Court
Carmel, IN 46033
In Sum of
624.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #1TlTLE AMOUNT Board Members
Dept
1081 -4 385811 4358400 624.00 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
11 -Feb 2010
Signature
624.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund