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192509 12/07/2010
E CITY OF CARMEL, INDIANA VENDOR: 364429 Page 1 of 1 g b ONE CIVIC SQUARE TAMMY MOON CARMEL, INDIANA 46032 14327 DOVE DRIVE CHECK AMOUNT: $130.00 CARMEL IN 46033 CHECK NUMBER: 742509 CHECK DATE: 12/712010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 543604 130.00 REFUNDS AWARDS 1NDE 000543604 Cherry Tree Elementa Clerk: TLB Date: 11/29/2010 Time: 12:42:08 H /H: Tammy Moon F /M: Nicole Moon Description Ext Price Pass 0 Type 0.00 Lp �l From 0 From 08/10/2010 05/26/2011 Rcpt# 543604 Prev Bal: 0.00 New charges 130.00- New Tax: 0.00 Total Due: 130.00- J Tot Refund: 130.00 New Bal 0.00 r r i 1 l �f ll nn rr Refund Type: Refund from Finance REFUND FINAN Refund of: 130.00 All refunds are subject to state Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issue No cash or credit card refunds. orized signature Date Authorized signature Date Fed Tax ID #35- 6000972 ©m C� 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. Terms Moon, Tammy Date Due 14327 Dove Drive Carmel, IN 46033 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 130.00 11129110 543604 Refund Total 130.00 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. Moon, Tammy Allowed 20 14327 Dove Drive Carmel, IN 46033 In Sum of 130.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -2 543604 4358400 130.00 i 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 2 -Dec 2010 Signature 130.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund