187704 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362962 Page 1 of 1
ONE CIVIC SQUARE MARYANNE BASS
is CHECK AMOUNT: $482.00
952 ROUNDTABLE COURT
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46260 CHECK NUMBER: 187704
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 465717 482.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 465717
Payment Date: 07/07/10
Household 24187
I�4anon Community Center Maryanne Bass Hm Ph: (317)251 -1150
Carmel IN 46032 952 Roundtable Ct. Wk Ph: (317)341 -1221
Indianapolis IN 46260 Cell Ph:
edward .bass @allisontransmission.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 482.00- 482.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 482.00
Processed on 07107/10 10:54:40 by BJJ NEW REFUND AMOUNT 482.00
TOTAL REFUNDABLE AMOUNT 482.00 c%
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 482.00 Made By R EFUN D FINAN With Reference
All refund s "a subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No ash or credit card refunds.
Auth L>Iiil6ture Dale Authorized Signature Date
S
JUL 1 2 2010 t!�
o
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.
Bass, Maryanne Terms
952 Roundtable Ct Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
717110 465717 Refund 482.00
Total r 482.00
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.
Bass, Maryanne Allowed 20
952 Roundtable Ct
Indianapolis, IN 46260
In Sum of
482.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1082 -8 465717 4358400 482.00 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
482.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund