183172 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 363960 Page 1 of 1
0 ONE CIVIC SQUARE KANCHAN SHARMA CHECK AMOUNT: $83.00
CARMEL, INDIANA 46032 16723 LAKEVILLE CROSSING
WESTFIELD IN 46074 CHECK NUMBER: 183172
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 393017 83.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 393017
Payment Date: 02/26/10
Household 15346
Monon Center Kanchan Sharma Hm Ph: (317)896 -4478
Carmel IN 46032 16723 Lakeville Crossing
Westfield IN 46074 Cell Ph:
rheakanchan @yahoo.com
Phone: (317)848 -7275
Fed'Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module. Activity Registration 83.00- 83.00 0.00
GIL 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 83.00 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 83.00
Processed on 02/26/10 16:52:15 by TLP NEW REFUND AMOUNT 83.00
;iTOTAL'- k,REFUN DAB LEJAMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 83.00 Made By EFUND Lc NAN With Reference h/h credit
All refunds are subject to St to B and of i ounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N sh credit c /rd r unds
2 C�
uthoriz d Sign ture Date Authorized Signature Date
71 Lr- 11
II
MA R 3 1010
B7.
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.
Sharma, Kanchan Terms
16723 Lakeville Crossing Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2126110 393017 Refund 83.00
Total 83.00
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,
Sharma, Kanchan Allowed 20
16723 Lakeville Crossing
Westfield, IN 46074
In Sum of
83.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 393017 4358400 83.00 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 -Mar 2010
Signature
83.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund