192050 11/23/2010 r,l�f CITY OF CARMEL, INDIANA VENDOR: 364876 Page 1 of 1
sqs ONE CIVIC SQUARE GREGORY DYAS CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032 11547 SENiE LANE
CARMEL IN 46032 CHECK NUMBER: 192050
CHECK DATE: 1112312010
DEPARTMENT ACCOUNT P NU MBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 10.00 REFUNDS AWARDS INDE
000541062
ry &91 r- 0
Monon Community Center Clerk: KLB
Date: 11/17/2010 Time: 09:26:52
Daily sale
Description Ext Price
Time In /Amt: 9:23A 10.00
visit Type: KZ Day visit
visit count: 2.00
Total Due: 10.00
Tot Refund: 10.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 10.00
Ref: overcharged
This refund will be mailed to:
Gregory Dyes Nov 7 20 10 Eil
11547 sense Lane
Carmel IN 46032
All refunds are subject to state Board BY.
of Accounts claim procedure and may take
4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
=�g J 1 D
Aut ignature Date
Authorized signature Date
Fed Tax ID #35- 6000972
i k.
Rcpt# 541062
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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
wham, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Dyas, Gregory Terms
11547 Senie Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) EA t
11/17/10 541062 Refund 10.00
Total 10.00
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,
Dyas, Gregory Allowed 20
11547 Senie Lane
Carmel, IN 46032
In Sum of
10.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT 4/TITLE AMOUNT Board Members
Dept
1092 541062 4358400 10.00 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
18 -Nov 2010
Signature
Is 10.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund