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185347 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364123 Page 1 of 1 ONE CIVIC SQUARE JONI MAGLIO CARMEL, INDIANA 46032 416 UXBRIDGE LANE CHECK AMOUNT: $150.00 CARMEL IN 46032 CHECK NUMBER: 185347 «OM CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 414897 150.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 414897 Payment Date: 04/26/10 r� Household 10971 APR 2 6 2010 Mo.aon Center Joni Maglio Hm Ph: (317)313 -4238 Carmel IN 46032 BY: 416 Uxbridge Ln Wk Ph: (317)249 -4238 Carmel IN 46032 Cell Ph: (317)313 -2491 JMaglio @adesa.com Phone: (317)848 -7275 Fed Tax ID #135- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 150.00 150.00 0.00 G/L Code Description Account Number Cst Cntr Description Account Number Amo 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 150.00 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 HOUSEHOLD BALANCE 150.00 Processed on 04/26/10 09:49:27 by JAB NEW REFUND AMOUNT 150.00 TOTAL REFUNDABLE AMOUNT 150.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 150.00 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 issi ed.�No cash or credit rd refunds. Authori ed Signature U V Date Authorized Signature Dale 4 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. Maglio, Joni Terms 416 Uxbridge Ln Date Due Carmel, IN 46032 Invoice I Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4126110 414897 Refund 150.00 Total 150.00 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 1 20 Clerk Treasurer Voucher No. Warrant No. Maglio, Joni Allowed 20 416 Uxbridge Ln Carmel, IN 46032 In Sum of 150.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT XTITLE AMOUNT Board Members Dept 1081 -10 414897 4358400 150.00 1 hereby certify that the attached invoice(s), or bilt(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 6 -May 2010 Signature 150.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund