HomeMy WebLinkAbout186022 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364153 Page 1 of 1
ONE CIVIC SQUARE ANIL YADAV
CARMEL, INDIANA 46032 14502 STEPHANIE ST CHECK AMOUNT: $26.00
CARMEL IN 46033 CHECK NUMBER: 186022
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 418805 26.00 REFUNDS AWARDS INDE
a
PASS REFUND RECEIPT
Receipt 418805
Payment Date: 05/10/10
Household 29416
Monon Center Anil Yadav Hm Ph: (317)844 -9288
Carmel IN 46032 14502 Stephanie St. Wk Ph: (317)
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 anupamamy @gmail.com
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 26.00- 26.00 0.00
G Cod Descriptio Account Numb Cs Cntr Descriptio Account Num Amo unt
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 26.00 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 26.00
Processed on 05/10/10 08:53:32 by JAB NEW REFUND AMOUNT 26.00
TOTAL REFUNDABLE AMOUNT 26.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 26.00 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
issued. No cash or c card refunds.
A Signatur Date Authorized Signature Date
�1 V�.
i
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,
Yadav, Anil Terms
14502 Stephanie St Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5110110 418805 Refund 26.00
Total 26.00
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.
I
Yadav, Anil Allowed 20
14502 Stephanie St
Carmel, IN 46033
In Sum of
26.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 418805 4358400 26.00 1 hereby certify that the attached invoice(s), or
r 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
26.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund