188922 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: T362364 Page 1 of 1
ONE CIVIC SQUARE VASANTHA NAGANDLA
CARMEL, INDIANA 46032 2111 GRENVILLE ST CHECK AMOUNT: $40.00
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CHECK NUMBER: 188922
CARMEL IN 46032
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 502359 40.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt# 502359
Payment Date: 08/11/10
Household 20746
Monon Community Center Vasantha Nagandla Hm Ph: (309)706 -9478
Carmel IN 46032 2111 Grenville St. #2b Wk Ph: (949)616 -2279
Carmel IN 46032 Cell Ph: (309)706 -9478
anilnagandla @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 40.00 40.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 40.00
Processed on 08111/10 15:24:46 by TLP NEW REFUND AMOUNT 40.00
TOTAL REFUNDABLE AMOUNT 40.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 40.00 Made By REFUND FI With Referenc hh credit.
All refunds are subject t tate oar o cc unts laim oce ure an may take 4 -6 weeks to process. A check will be
issued. N _ca &h-or cre t card/ref d
1
Authorized igna Date Authorized Signature Date
ENJOY YOUR ESCAPE!
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TIT........
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Nagandla, Vasantha Terms
2111 Grenville St. 213 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8111110 502359 Refund 40.00
Total 40.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11-10 -1.6
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Nagandla, Vasantha Allowed 20
2111 Grenville St. 2B
Carmel, IN 46032
In Sum of$
f
40.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1092 502359 4358400 40.00 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
40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund