155640 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360012 Page 1 of 1
ONE CIVIC SQUARE GILLIAN ASHBY CHECK AMOUNT: $38.00
CARMEL, INDIANA 46032 1216 CLARIDGE WAY N
CARMEL IN 46032 CHECK NUMBER: 155640
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 82069 38.00 REFUNDS AWARDS INDE
X11.
ACTIVITY REFUND RECEIPT
Receipt 82069
Payment Date: 01/07/2008
Household 7799
Home Phone: (317)810 -9162 i
Work Phone: (317)655 -9111 i I
i
JAN l
GILLIAN ASHBY Monon Center
1216 CLARIDGE WAY NORTH Carmel IN 46032
CARMEL, IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 38.00- 38.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 38.00
Processed on 01/07/08 10:28:54 by CEK NEW REFUND AMOUNT 38.00
TOTALNREF,UNDABLE AMOUNT „A, ti^ 1 38,00_
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 38.00 Made By JOURNAL -RF With Reference cancel low enrollmen
All refunds are subject to State Board of Accounts claim procedure and m take 4 -6 e o process. A check will be
issued. No cash or credit card refunds.
Authorized Signature Date Autho tied Sign Lure fJate
dry
nom,
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.
Gillian Ashby Terms
1216 Claridge Way North Date Due
Carmel IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/7/08 82069 Refund 38.00
Total 38.00
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.
Gillian Ashby Allowed 20
1216 Claridge Way North
Carmel IN 46032
In Sum of
38.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 82069 4358400 38.00 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
16 -Jan 2008
Sign re
38.00 Business Serv
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund