187969 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 364319 Page 1 of 1
ONE CIVIC SQUARE JOHN NELLIGAN CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 5389 RIPPLING BROOK WAY
CARMEL IN 46033 CHECK NUMBER: 187969
CHECK DATE: 7/21/2010
f ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 471721 30.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 471721
Payment Date: 07/93/10
Household 16787
Mor on Community Center John Nelligan Hm Ph: (317)815 -9715
Cal Vel IN 46032 5389 Rippling Brook Way
Y Carmel IN 46033 Cell Ph:
Phone: (317 )848 -7275 sneI11474 @sbcglobal.net
Fed Tax ID #35- 6000972
Refund Details
Ono Bal Refund New Bal
Module: Activity Registration 30.00- 30.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 30.00
Processed on 07/13/10 14:18:33 by LWW NEW REFUND AMOUNT 30.00
TOTAL REFUNDABLE AMOUNT 30:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference check
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
L� Lc W-- U0 ,"LCL q. 13. to
Authorized Signature Date Author/zed Signature Date
JUL 4 1010 01
BY:
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.
Nelligan, John Terms
5389 Rippling Brook Way Date Due
Carmel, I N 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7113/10 471721 Refund 30.00
Total 30.00
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.
Nelligan, John Allowed 20
5389 Rippling Brook Way
Carmel, IN 46033
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1092 471721 4358400 30.00 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
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund