HomeMy WebLinkAbout188298 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364495 Page 1 of 1
Q� ONE CIVIC SQUARE JOHN CUTHBERT CHECK AMOUNT: $129.43
CARMEL, INDIANA 46432 10726 LAKEVIEW DRIVE
CARMEL IN 46033 CHECK NUMBER: 188298
CHECK DATE: 8!312010
DEPARTMENT ACCOUNT P N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4356400 489046 129.43 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 489046
Payment Date: 07/29/10
Household 12298
Monon Community Center Joan Cuthbert Hm Ph: (317)522 -8801
Carmel IN 46032 10726 Lakeview Drive Wk Ph: (317)306 -7262
Carmel IN 46033 Cell Ph: (317)432 -8674
J jcuthind3 @yahoo.com
Phone: (3 )848 -7275
Fed Tax I #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 129.43 129.43 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 129.43
Processed on 07/29/10 11:20:24 by TLP NEW REFUND AMOUNT 129.43
TOTAL REFUNDABLE AMOUNT 129.43
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 129.43 Made By REFUND FINAN With Referen a =Lhh red it
All refunds are subject tp1$te Board ccounts claim procedure and may take 4 -6 weeks to process. A check will be
issued--No or credit Bard r E r'
t.'. L!
-2�
Authorized ign Lure Date Authorized Signature Date
Enjoy your escape at the MCC.
09
JUG (1 2010
3
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.
Cuthbert, John Terms
10726 Lakeview Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7129110 489046 Refund 129.43
Total 129.43
1 hereby certify that the attached invoice(s), or biil(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.
Cuthbert, John Allowed 20
10726 Lakeview Drive
Carmel, IN 46033
In Sum of$
129.43
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 489046 4358400 129.43 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
29 -Jul 2010
6ZZ
Signature
129.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund