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Home My WebLink About186426 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 364232 Page 1 of 1 ONE CIVIC SQUARE LISA MIAO CHECK AMOUNT: $175.00 CARMEL, INDIANA 46032 4045 ROWLETT PLACE CARMEL IN 46032 CHECK NUMBER: 186426 CHECK DATE: 619/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 175.00 REFUNDS AWARDS INDE PASS REFUND RECEIPT Receipt 426259 Payment Date: 05/25/10 Household 2862 t MAY 2 5 2M Monon Center Lisa Miao Hm Ph: (317)873 -1480 Carmel IN 46032 IBM 4045 Rowlett Place Wk Ph: (317)274 -8691 Carmel IN 46032 Cell Ph: (317)985-2828 lisamiao @gmail.com Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Pass Details CANCELLATION Refund Of 175.00 Pass Holder: Ashley Yang Fees Tax Discount Prev Paid Cur Paid Amount Due Pass Type: 20 -Visit (ESE20V), #104063 75.00 0.00 75.00 0.00 0.00 Valid Dates: 08/11/2009 to 05/27/2010 Pass Cancellation) Pass visa Info: Number of Visits: 14 Cancel Reason: 5th grader; will no longer utilize ESE program GIL Code Description Account Number Cst Cntr Description Accou Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 175.00 DR The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund. 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 0.00 Processed on 05/25/10 13:19:46 by JAB FEES CHANGED ON CANCELLED ITEMS 175.00 NET AMOUNT FROM CANCELLED ITEMS 175.00 TOTAL AMOUNT REFUNDED 175.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 175.00 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 ed. No cash or credit and refunds. Zr.( A or ed 5 nature Date Authorized Signature Date tv 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. Miao, Lisa Terms 4045 Rowlett Place Date Due Carmel, IN 46032 t Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/25/10 426259 Refund 175.00 Total 175.00 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. Miao, Lisa Allowed 20 4045 Rowlett Place Carmel, IN 46032 In Sum of$ 175.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1081 -10 426259 4358400 175.00 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 3 -Jun 2010 Signature 175.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund