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188304 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: T361489 Page 1 of 1 ONE CIVIC SQUARE ANNE DIMOND 0 CHECK AMOUNT: $39.60 CARMEL, INDIANA 46032 12480 GLENDURGAN DR CARMEL IN 46032 CHECK NUMBER: 188304 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 486102 39.60 REFUNDS AWARDS INDE GLOBAL REFUND RECEIPT Receipt 486102 Payment Date: 07/26/10 y Household 583 2 7 20 Monon Community Center Anne Dimond Hm Ph: (317)575 -8121 Carmel IN 46032 12480 Glendurgan Dr. Carmel IN 46032 Cell Ph: Phone: (317)848 -7275 adimond3 @sbcglobal.net Fed Tax ID #35- 6000972 Refund Details Oria Sal Refund New Bal Module: Activity Registration 39.60- 39.60 0.00 PREVIOUS NET CREDIT HOUSEHOLD BALANCE 39.60 Processed on 07/26/10 12:39:42 by BJJ NEW REFUND AMOUNT 39.60 TOTAL, REFUNDABLE AMOUNT 39:60•: NEW NET HOUSEHOLD BALANCE 0.00 Refund of 39.60 Made By REFUND FINAN With Reference All refun are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. N cash or credit card refunds. A horized nature Date Authorized Signature Date Enjoy your escape at the MCC. 1 OL Page 9 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. Dimond, Anne Terms 12480 Glendurgan Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7126110 486102 Refund 39.60 Total 39.60 I 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. Dimond, Anne Allowed 20 12480 Glendurgan Dr Carmel, IN 46032 In Sum of 39.60 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1082 -98 486102 4358400 39.60 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 Signature 39.60 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund