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182544 02/17/2010
CITY OF CARMEL, INDIANA VENDOR: 363896 Page 1 of 1 ONE CIVIC SQUARE MICHELLE SINGLETON CHECK AMOUNT: $24.00 CARMEL, INDIANA 46032 3866 CASTLE ROCK DRIVE ZIONSVILLE IN 46032 CHECK NUMBER: 182544 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 380754 24.00 REFUNDS AWARDS INDE GLOBAL REFUND RECEIPT Receipt# 380754 Payment Date: 01/26/10 Household 2078 Monon Center Michelle Singleton Hm Ph: (317)873 -8459 Carmel IN 46032 3868 Castle Rock Drive Wk Ph: (317)818 -8612 Zionsville IN 46032 Cell Ph:(317)531 -2787 msingleton4 @indy.rr.com Phone: (317)848 -7275 Fed `Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Pass Management 24.00- 24.00 0.00 G/L Code De scription Account Number C st Cntr Descri Account Number Amou 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 24.00 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 CREDIT HOUSEHOLD BALANCE 24.00 Processed on 01/26/10 09:15:13 by BJJ NEW REFUND AMOUNT 24.00 TOTAL`REFUNDABL"'E'AMOUNT '24.0 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 24.00 Made By REFUND FINAN With Reference correction All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process (A check ill be issu7 No cash or credit card refunds. 0 orized Signature Date Authorized Signature Date 4- q3 610 0� 3 g35gy ©a FEB 0 2 2010 U IJY:....................... C1WCZLL6-'� L li�ic �O�-J NPLLMWT f�WIL004NT Spg-JA 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. Singleton, Michelle Terms 3868 Castle Rock Drive Date Due Zionsville, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/26/10 380754 Refund 24.00 Total 24.00 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, Singleton, Michelle Allowed 20 3868 Castle Rock Drive Zionsville, IN 46032 In Sum of 24.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT#frlTLE AMOUNT Board Members Dept 1081 -3 380754 4358400 24.00 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 II` 2090 4 Signature 24.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund