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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 X^" 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