HomeMy WebLinkAbout1880009 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: T358265 Page 1 of 1
0 ONE CIVIC SQUARE DENISE PLOSS CHECK AMOUNT: $168.00
CARMEL, INDIANA 46032 3205 TANTARA BEND
's,;eNpp CARMEL IN 46032 CHECK NUMBER: 188009
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 471160 168.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 471160
Payment Date: 07/12/10
Household 6006
Mon on Community Center Denise Ploss Hm Ph: (317)810 -9576
Carmel IN 46032 3205 Tantara Bend Wk Ph: (317)583 -5122
Carmel IN 46032 Cell Ph: (317)501 -2778
dbploss @gmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Ong Bat Refund New Bal
Module: Pass Management 248.00 168.00 80.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 248.00
Processed on 07/12/10 15:28:45 by TLP NEW REFUND AMOUNT 168.00
TOTAL REFUNDABLE AMOUNT 168.00
NEW NET CREDIT HOUSEHOLD BALANCE 80.00
Refund of 168.00 Made By REFUN I N With Reference
All refunds we subject t ate Boar of c� ounts claim procedure and may take 4 -6 weeks to process. A check will be
is o cash or cre it and re S.
r
Authorized Signat re Date Authorized Signature Date
fi g`' "J, 0 �J t
1 11 J5 7a� 13
JUL 1 3 2010
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.
Ploss, Denise Terms
3205 Tantara Bend
Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
7112110 471160 Refund 168.00
Total 168.00
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.
Ploss, Denise Allowed 20
3205 Tantara Bend
Carmel, IN 46032
In Sum of
168.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1092 471160 4358400 168.00 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
168.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund