HomeMy WebLinkAbout184926 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364102 Page 1 of 1
j ONE CIVIC SQUARE MARIA SCHILTZ CHECK AMOUNT: $34.50
CARMEL, INDIANA 46032 13842 WELLESLEY LANE
CARMEL IN 46032 CHECK NUMBER: 184926
CHECK DATE: 4/2712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 414883 34.50 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 414883
Payment Date: 04/26/10
Household 20342
Carmel Clay Parks Recreation Maria Schiltz Hm Ph: (317)569 -6769
1235 Central Park Drive East 13842 Wellesley Lane
Carmel IN 46032 Carmel IN 46032 Cell Ph: (609)439 -6354
Phone: (317)848 -7275 mariaschiltz @yahoo.com
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 34.50- 34.50 0.00
G/L Code Description Account Number Cst Cnlr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 34.50 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 34.50
Processed on 04/26/10 09:01:56 by ABK NEW REFUND AMOUNT 34.50
TOTAL)REFUNDABLE AMOUNT. 34;50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 34.50 Made By REFUND FINAN With Reference Creidt bal refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or cr it card refunds.
o ,lv 1,
Authorized Sig re Date Authorized Signature Date
rN
APR
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.
Schiltz, Maria Terms
13842 Wellesley Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4126/10 414883 Refund 34.50
Total 34.50
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Schiltz, Maria Allowed 20
,,l 3842 Wellesley Lane
Carmel, IN 46032
In Sum of
34.50
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept
1096 -41 414883 4358400 34.50 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
26 -Apr 2010
i
Signature
34.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund