HomeMy WebLinkAbout191557 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: T355873 Page 1 of 1
ONE CIVIC SQUARE CONNIE BERRIDGE
CARMEL, INDIANA 46032 11906 EDEN GLEN DRIVE CHECK AMOUNT: $270.00
CARMEL IN 46033 CHECK NUMBER: 191557
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CHECK DATE: 11/1012010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 270.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 534556
Payment Date: 11/01/10
Household 11550
Monon Community Center Connie Berridge Hm Ph: (317)569 -8863
Carmel IN 46032 11906 Eden Glen Drive Wk Ph: (317)
Carmel IN 46033 Cefl Ph: (317)294-0105
Phone: (317)848 -7275 cberridge @concentric.net
Fed Tax I D #35- 6000972
Refund Details
Oria Bal Refund New Sal
Module: Activity Registration 270.00- 270.00 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 270.00
Processed on 11101(10 15:54:17 by BJJ NEW REFUND AMOUNT 270.00
rTOTAL REFUNDABLE AMOUNT; ".,,220:00.:' V
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 270.00 Made By REFUND FINAN With Reference
All refunds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. cash or credit c u .ds. z
Au t oriz Signature Date Authorized Signature Date
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Page 4 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.
Berridge, Connie Terms
11906 Eden Glen Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1111110 534556 Refund 270.00
Total 270.00
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
20
Clerk- Treasurer
Voucher No. Warrant No,
Berridge, Connie Allowed 20
11906 Eden Glen Drive
Carmel, IN 46033
In Sum of
270.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #£TITLE AMOUNT Board Members
Dept
4082 -6 534556 4358400 270.00 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
4 -Nov 2010
Signature
270.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund