192296 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364882 Page 1 of 1
0 1 ONE CIVIC SQUARE PAUL ZAUNER
CARMEL, INDIANA 46032 11715 LENOX LANE #207 CHECK AMOUNT: $60.00
CARMEL IN 46032 CHECK NUMBER: 192296
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 60.00 PARKS DEPARTMENT REFU
000534207
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Monon Community center Clerk: JLG
Date: 10/30/2010 Time: 16:29:15
H/H Pa G Ler\c s# 207 CAvrnel 04 146032
F /M: Paul zauner
Description Ext Price
Pass 0 Type 180.00
AgGy Adlt Annua
From 02/05/2010 02/05/2011
Rcpt# 534207 Prev Bal: 0.00
New Charges 60.00
New Tax: 0.00
Total Due: 60.00
Tot Refund: 60.00
New Bal: 0.00
Refund Type: Refund from Finance
REFUND FINAN'Refund of: 60.00
All refunds are subject to state Board
of Accounts claim procedure and may take
4 -6 weeks to process. A check will be D
issued. No cash or credit card refunds.,
y
t�V 1 7 2 010
Authorize Signature Date Y
Authorized Signature Date
Fed Tax ID #35- 6000972
Rcpt# 534207
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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
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Zauner, Paul Terms
11715 Lenox Lane 207 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/30/10 534207 Refund 60.00
Total 60.00
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.
Zauner, Paul Allowed 20
11715 Lenox Lane 207
Carmel, IN 46032
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 534207 4358400 60.00 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
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund