HomeMy WebLinkAbout182909 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363929 Page 1 of 1
ONE CIVIC SQUARE RHONDA KUCHIK CHECK AMOUNT: $12.00
CARMEL, INDIANA 46032 12411 BAYHILL DRIVE
off CARMEL IN 46033 CHECK NUMBER: 182909
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 12.00 REFUND
PASS REFUND RECEIPT
Receipt 389239
Payment Date: 02/15/10
Household 3108
Monon Center Rhonda Kuchik Hm Ph: (317)846 -6411
Carmel IN 46032 12411 Bayhill Drive Wk Ph: (317)
Carmel IN 46033 Cell Ph: (317)507 -1053
rhonda @makmortgage.net
Phone: (317)848 -7275
Fed tax ID #35- 6000972
Refund Details
Orfa Bal Refund New Bal
Module: Pass Management 12.00- 12.00 0.00
GIL Code Descri Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 12.00 DR
Finance wifl have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET HOUSEHOLD BALANCE 12.00
Processed on 02/15/10 09:27:16 by JAB NEW REFUND AMOUNT 12.00
TOTAL REFUNDABLE AMOUNT 12.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 12.00 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
issuL-d. o cash or credit card refunds.
(Irwed Signature Date Authorized Signature Date
1 3 017 I N V/
FEB 15 2010
,OV.
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.
Kuchik, Rhonda Terms
12411 Bayhill Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/15110 389239 Refund 12.00
Total 12.00
t 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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Kuchik, Rhonda Allowed 20
12411 Bayhill Drive
Carmel, IN 46033
In Sum of$
12.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1'1 389239 4358400 12.00 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
23 -Feb 2010
Im I nim
Signature
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund