192729 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364932 Page 1 of 1
0 ONE CIVIC SQUARE PENGXIANG ZHU
CARMEL, INDIANA 46032 14190 AUTUMN WOODS DRIVE CHECK AMOUNT: $95.19
CARMEL IN 46074
CHECK NUMBER: 192729
CHECK DATE: 1 211 012 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 95.19 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 545947
Payment Date: 12/07/10
Household 13884
Monon Community Center Pengxiang Zhu Hm Ph: (317)816 -0223
Carmel IN 46032 14190 Autum Woods Dr
Westfield IN 46074 Cell Ph: (317)728 -9138
pzhu2k @yahoo.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Sal Refund New Bal
Module. Pass Management 95.19- 95.19 0.00
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 95.19
Processed on 12/07/10 11:31:18 by MJN NEW REFUND AMOUNT 95.19
fj t� Q I TOTAL REFUNDABLE AMOUNT 95.19
c NEW NET HOUSEHOLD BALANCE 0.00
Refund of 95.19 Made By REFUND FINAN With Reference HH balance
All refunds are subject to State Board of Accounts claim procedure and may t 4 -6 eeks to process. A check will be
issued. No cash or credit card refunds.
/7 /v
uthorized Signature Date Au ized Si9711 e Date
L DEC 08 2010
E "I
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.
Zhu, Pengxiang Terms
14190 Autum Woods Dr Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1217110 545947 Refund 95
:Total 95.19
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.
Zhu, Pengxiang Allowed 20
14190 Autum Woods Dr
Westfield, IN 46074
In Sum of
95.19
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1092 545947 4358400 95.19 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
9 -Dec 2010
Signature
95.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund