HomeMy WebLinkAbout188951 08/18/2010 s- CITY OF CARMEL, INDIANA VENDOR: 364542 Page 1 of 1
ONE CIVIC SQUARE JESSICA PHILLEO CHECK AMOUNT: $84.00
G� CARMEL, INDIANA 46032 13461 VIOLET WAY
CARMEL IN 46032 CHECK NUMBER: 188951
CHECK DATE: 8118/2010
DEPAR ACCOUN PO NUM BER I NVOICE N UMBER AMO UNT DESC RIPTION
1081 4358400 471471 84.00 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 471471
Payment Date: 07/13/10
Household 2142
Smoky Row Elementary Jessica Philleo Hm Ph: (317)844 -3356
900 West 136th Street 13461 Violet Way Wk Ph: (317)655 -4551
Camel IN 46032 Carmel IN 46032 Cell Ph:(317)
Phone: (317)848 -7275 jsphil leo @sbcglobal. net
Fes Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 84.00- 84.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 84.00
Processed on 07/13/10 10:24:52 by AEB NEW REFUND AMOUNT 84.00
TOTAL REFUNDABLErAMOUNT (84:00;..
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 84.00 Made By REFUND FINAN With Reference
All refunds ar subject to State Boar f- Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. jNh or credit card ds.
Aut rized ature Date Authorized Signature Date
�S
l Page 1
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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.
Philleo, Jessica Terms
13461 Violet Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/10 471471 Refund 84.00
Total Is 84.00
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.
Philleo, Jessica Allowed 20
13461 Violet Way
Carmel, IN 46032
In Sum of
84.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -8 471471 4358400 84.00 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
84.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund