HomeMy WebLinkAbout188882 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 364537 Page 1 of 1
ONE CIVIC SQUARE SRINIVASARAO KOLLI CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 14502 BALDWIN LN
CARMEL IN 46032 CHECK NUMBER: 188882
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 502361 55.00 REFUNDS AWARDS TNDE
GLOBAL REFUND RECEIPT
Receipt 502361
Payment Date: 08/11/10
Household 16941
Monon ommunity Center Srinivasarao Kolli Hm Ph: (317)816 -2205
Caren IN 46032 14502 Baldwin Ln
Carmel IN 46032 Cell Ph:
srkolli @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
O_rig Bai Refund New Bal
Module: Activity Registration 55.00- 55.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 55.00
Processed on 08/11110 1525:29 by TLP NEW REFUND AMOUNT O 55.00
TOTAL REFUNDABLE AMOUNT 55.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUN FINAN With Reference
All refunds ubjec o tate Bo d counts claim pr cedure and may take 4 -6 weeks to process. A check will be
issue o cash or c d' card r n
Authorized Sig ture t Authorized Signature Date
ENJOY YOUR ESCAPE! b 'Tr
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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.
Kolli, Srinivasarao Terms
14502 Baldwin Ln Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8111110 502361 Refund 55.00
Total 55.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Ko[li, Srinivasarao Allowed 20
14502 Baldwin Ln
Carmel, IN 46032
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 502361 4358400 55.00 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
12 -Aug 2010
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund