HomeMy WebLinkAbout183001 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 363934 Page 1 of 1
o f l ONE CIVIC SQUARE DAVID SMITH CHECK AMOUNT: $31.50
`.a CARMEL, INDIANA 46032 10867 CORNELL AVE
INDIANAPOLIS IN 46280 CHECK NUMBER: 183001
CHECK DATE: 3!312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 31.50 REFUND
000390017.Txt
0 @09ry &000!0
Monon center clerk. MAK
Date: 02/16/2010 Time: 12:10:58
H /H: David Smith
F /M: David smith
Description Ext Price
Pass 0 Type 43.50
Kz 50 visit
From 01/02/2008 12/31/2099
V
Rcpt# 390017 Prev Bal: 0.00 �(l�
New Charges 31.50-
New Tax: 0.00
Total Due: 31.50-
Tot Refund: 31.50
New Bal: 0.00
Refund Typ Refund from Finance
REFUND FINAN Refund of: 31.50
All refunds are su ect to fate Board �V
Of Accounts claim ocedu nd may take
4 -6 weeks t pro a s. e k will be
issued o cash o cr t c rd refunds.
Au Prized s gnature Date
authorized signature Date
Fed Tax ID #35- 6000972
V
Rcpt# 390017
D@
9m
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.
Smith, David Terms
10867 Cornell Ave Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2116110 390017 Refund 31.50
Total 31:.50
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.
Smith, David Allowed 20
10867 Cornell Ave
Indianapolis, IN 46280
In Sum of
31.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
+i
PO#or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1092 390017 4358400 31.50 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
25 -Feb 2010
&hL14r
Signature
31.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund