188439 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364500 Page 1 of 1
4 ONE CIVIC SQUARE GLENN MOELING
CARMEL, INDIANA 46032 14361 QUAIL POINTE DR CHECK AMOUNT: $132.58
CARMEL IN 46032
CHECK NUMBER: 188439
CHECK DATE: 813/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 458644 132.58 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 458644
.�A Payment Date: 06/30/10
Household 7712
Monon Community Center Glenn Moehling Hm Ph: (317)848 -1593
Carmel IN 46032 14361 Quail Pointe Dr Wk Ph: (317)
Carmel IN 46032 Cell Ph: (317)457 -8882
gbmoehling @aol.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 132.58- 132.58 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 132.58
Processed on 06/30/10 15:45:43 by TLP NEW REFUND AMOUNT 132.58
TOTAL REFUNDABLE AMOUNT 132.58
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 132.58 Made By REFUND FINAN With Reference >.upgraded2h(hpass; ugftPass included
All refunds ar bject �t cedure and may take 4 6 weeks to process. A check will be
issu cash or crer Authorized Signature ae Authorized Si gnature Date
JUL 1 9 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.
Moeling, Glenn Terms
14361 Quail Pointe Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/30110 458644 Refund 132.58
Total 132.58
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.
Moeling, Glenn Allowed 20
14361 Quail Pointe Dr
Carmel, IN 46032
In Sum of
132.58
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITI AMOUNT Board Members
Dept
1096 -22 458644 4358400 132.58 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
132.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund