HomeMy WebLinkAbout185776 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364147 Page 1 of 1
ONE CIVIC SQUARE WANDA HERNANDEZ
CARMEL, INDIANA 46032 14227 LANGHAM DR CHECK AMOUNT: $1,250.00
o WESTFIELD IN 46074 CHECK NUMBER: 185776
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 417993 1,250.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 417993
Payment Date: 05/06/10
Household 4990
Monon Center Wanda Hernandez Hm Ph: (787)399 -6037
Carmel IN 46032 14227 Langham Dr Wk Ph: (317)
Westfield IN 46074 Cell Ph: (787)941-3533
hernandez_wanda_i @l illy, com
Phone: (317)848 -7275
FPd Tax f D #35- 6000972
Refund Details
Oria Bat Refund New Bal
Module: Activity Registration 1.00 250.00- 249.00
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 1250.00 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 1,250.00
Processed on 05106/10 13:26:41 by JAB NEW REFUND AMOUNT 1,250.00
TOTAL REFUNDABLE AMOUNT
1,250.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 1,250.00 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
I ash or credit card refunds.
i d S ature Date Authorized Signature Date
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.
Hernandez, Wanda Terms
14227 Langham Dr Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
516110 417993 Refund 1,250.00
Total 1,250.00
1 hereby certify that the attached invoice(s), or bills) 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.
Hernandez, Wanda Allowed 20
14227 Langham Dr
Westfield, IN 46074
In Sum of
1,250.00
ON ACCOUNT OF APPROPRIATION FOR
108- ESE
PO# or INVOICE NO. ACCT#1TITLE AMOUNT Board Members
Dept
1082 -1 417993 4358400 1,250.00 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
20 -May 2010
Signature
1,250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund