HomeMy WebLinkAbout187690 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364410 Page 1 of 1
0 ONE CIVIC SQUARE TARIA ANDERSON
CARMEL, INDIANA 46032 5230 HAVERFORD RD CHECK AMOUNT: $28.00
INDIANAPOLIS IN 46220
CHECK NUMBER: 187690
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 471074 28.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt# 471074
Payment Date: 07/12/10
Household 31807
Monon Community Center Taria Anderson Hm Ph: (317 )702 -1838
Carmel IN 46032 5230 Haverford Rd.
Indianapolis IN 46220 Cell Ph:
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bat Refund New Bat
Module: Pass Management 213.00- 28.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 28.00
Processed on 07112/10 14:36:10 by TLP NEW REFUND AMOUNT 28.00
TOTAL_ REFUNDABLE AMOUNT 28.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 28.00 Made By REFUND FINAN With Refere ce �,,dt D All refunds are subject toy to Board 9fAcgcunts claim procedure and may take 4 -6 weeks to process. A check will be
issued -D -cash or credit rd refun
Dz Zo
Authorized Sign ur Date Authorized Signature Date
1.
JUL 1 4 2010
BY:-
Page 4 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.
Anderson, Taria Terms
5230 Haverford Rd Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/12/10 471074 Refund 28.00
Total 28.00
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.
Anderson, Taria Allowed 20
5230 Haverford Rd
Indianapolis, IN 46220
In Sum of
28.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 471074 4358400 28.00 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
15 -Jul 2010
Signature
28.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund