186381 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: T355468 Page 1 of 1
ONE CIVIC SQUARE TRISH IRBE
CARMEL, INDIANA 46032 14194 STACEY ST CHECK AMOUNT: $231.25
CARMEL IN 46033 CHECK NUMBER: 186381
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 231.25 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 425992
Payment Date: 05/24/10
Household 1353
Monon Center Trisha Irbe Hm Ph: (317)848 -5044
Carmel IN 46032 14194 Stacey St. Wk Ph: (317)
Carmel IN 46033 Cell Ph: (317)223 -7557
r ti @coleman cable.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Sal
Module: Activity Registration 231.25- 231.25 0.00
G/L 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 231.25 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 231.25
Processed on 05/24/10 13:55:42 by BJJ NEW REFUND AMOUNT 231.25
'TOTAL <REFUNDABLE;`AMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 231.25 Made By REFUND FINAN With Reference
All refunds are subject t� o State Board of Accounts claim procedure and may take 4 -6 weeks to process. check ill be
issued. o cash or credit card refunds.
Au ized Signature Date Authorized Signature Date
qmmm
J ifi UU, )?A- R_ W R_
MAY 5 2010
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.
Irbe, Trisha Terms
14194 Stacey ST Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5124110 425992 Refund 231.25
Total 231.25
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.
Irbe, Trisha Allowed 20
14194 Stacey ST
Carmel, IN 46033
In Sum of
231.25
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -6 425992 4358400 231.25 '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
3 -Jun 2010
Signature
231.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund