HomeMy WebLinkAbout188575 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 364508 Page 1 of 1
ONE CIVIC SQUARE DAVID WANG
O CARMEL, INDIANA 46032 13144 HARRISON DRIVE CHECK AMOUNT: $162.00
CARMEL IN 46033 CHECK NUMBER: 188575
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 472468 162.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 472468
Payment Date: 07/14/10
Household 33299
Monon Community Center David Wang Hm Ph: (317)846 -4630
Carmel IN 46032 13144 Harrison Drive
Carmel IN 46033 Cell Ph: (317)414 -9686
Phone: (317)848 -7275 melingkuo @aol.com
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 162.00- 162.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 162.00
Processed on 07/14/10 11:18:57 by BJJ NEW REFUND AMOUNT 162.00
TOTAL REFUNDABLE AMOUNT 162,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 162.00 Made By REFUND FINAN With Reference
All refunds 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.�hrr.:rc{ ,?nature Date Authorized Signature Date
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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.
Terms
Wang, David
Date Due
13144 Harrison Drive
Carmel, IN 46033
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
162.00
7114110 472468 Refund
Total 162.00
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.
Wang, David Allowed 20
13144 Harrison Drive
Carmel, IN 46033
In Sum of
162.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TiTLE AMOUNT Board Members
Dept
1082 -1 472468 4358400 162.00 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
29 -Jul 2010
Signature
162.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund