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183673 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 363998 Page 1 of 1 ONE CIVIC SQUARE MICHAEL REECE CHECK AMOUNT: $10.00 ro CARMEL, INDIANA 46032 1404 SPRINGMILL PONDS BLVD CARMEL IN 46032 CHECK NUMBER: 183673 CHECK DATE: 3125/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 10.00 REFUNDS AWARDS INDE GLOBAL REFUND RECEIPT Receipt 402313 Payment Date: 03/22/10 Household 5489 Monon Center Michael Reece Hm Ph: (317)810 -9651 Carmel IN 46032 1404 Springmill Ponds Blvd Carmel IN 46032 Cell Ph: Phone: (317)848 -7275 moiereece @yahoo.com Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 10.00- 10.00 0.00 GIL Code Description Account Number Cst Cntr Descri Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 10.00 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 10.00 Processed on 03/22/10 13:08:13 by BJJ NEW REFUND AMOUNT O 10.00 TOTAL REFUN DAB LE"AM OUNT 31'0:00' NEW NET HOUSEHOLD BALANCE 0.00 Refund of /10.00 Made By REFUND FINAN With Reference All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. check I be issued. 1 7 o cash or credit card refunds. �-,)--�4 Q uth ed Signature Date Authorized Signature Date BY........... 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. Reece, Michael Terms 1404 Springmill Ponds Blvd Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/22/10 402313 Refund 10.00 Total 10.00 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_ Clerk- Treasurer Voucher No. Warrant No. Reece, Michael Allowed 20 1404 Springmill Ponds Blvd Carmel, IN 46032 In Sum of 10.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -8 402313 4358400 10.00 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 25 -Mar 2010 P y��iV /�/Z�Laz Signature I s 10.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund