187274 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 364303 Page 1 of 1
ONE CIVIC SQUARE DEVIKA DHANABAL
CARMEL INDIANA 46032 13933 WILDCAT DR CHECK AMOUNT: $642.00
CARMEL IN 46033 CHECK NUMBER: 187274
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 449548 642.00 REFUNDS AWARDS INDE
t
-i
GLOBAL REFUND RECEIPT
Receipt 449548
Payment Date: 06/21/10
Household 8922
OR 1J
Monon Community Center J UN 2 2 2 01 0 Devika Dhanabal Hm Ph: (317)574 -1649
C IN 46032 13933 Wildcat Dr Wk Ph: (317)313 -3636
BY: Carmel IN 46033 Cell Ph: (317)313-3636
pdhanbal @yahoo.com; vikamuthuvel @yahoo.com
Ph, one:
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 642.00- 642.00 0.00
G/L Code Description Acc ount Nu mber Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 642.00 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 642.00
Processed on 06/21/10 13:47:17 by BJJ NEW REFUND AMOUNT 642.00
TOTAL REFUNDABLE AMOUNT 642:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 642.00 Made By REFUND FINAN With Reference
All refunds are,s bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cas or credit card refunds. 1
Authori d Si re Date Authorized Signature Date
�00
or"b
l f 5
�S
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.
Dhanabal, Devika Terms
13933 Wildcat Dr Date Due
rt Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/10 449548 Refund 642.00
Total 642.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Dhanabal, Devika Allowed 20
13933 Wildcat Dr
Carmel, IN 46033
In Sum of
642.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 449548 4358400 642.00 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
1 -Jul 2010
Signature
642.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund