HomeMy WebLinkAbout186716 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364254 Page 1 of 1
ONE CIVIC SQUARE BETHANY ADNER
CARMEL, INDIANA 46032 61 WILSON DRIVE CHECK AMOUNT: $75.00
'`<<a CARMEL IN 46032 CHECK NUMBER: 186716
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 435883 75.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 435883
Payment Date: 06/09/10
Household 18475
Monon Community Center Bethany Adner Hm Ph: (317)846 -9310
Carmel IN 46032 61 Wilson Drive
Carmel IN 46032 Cell Ph:
Phone: (317)848 -7275
Fad Tax ID #35- 6000972
Refund Details
Orig Bal Refund New Bal
Module: Pass Management 75.00- 75.00 0.00
G/L Code Descrip Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 75.00 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 CREDIT HOUSEHOLD BALANCE 75.00
Processed on 06/09/10 10:59:26 by TLP NEW REFUND AMOUNT 75.00
TOTAL REFUNDABLE AMOUNT 75.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 75.00 Made By REFUND FINAN With Reference rcpt 425926 for ref.
All refunds are subject t State Boar af, clai procedure and may take 4 -6 weeks to process. A check will be
iss mash or ire it card ref s�
Authorized Sign re Date Authorized Signature Date
JUN '1010
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.
Adner, Bethany Terms
61 Wilson Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
619110 435883 Refund 75.00
Total 75.00
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.
Adner, Bethany Allowed 20
61 Wilson Drive
Carmel, IN 46032
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 435883 4358400 75.00 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
17 -Jun 2010
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund