166558 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 360012 Page 1 of 1
0 ONE CIVIC SQUARE GILLIAN ASHBY
CARMEL, INDIANA 46032 1216 CLARIDGE WAY N CHECK AMOUNT: $146.15
CARMEL IN 46032 CHECK NUMBER: 166558
CHECK DATE: 12/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 203501 146.15 REFUNDS AWARDS INDE
1
GLOBAL REFUND RECEIPT
Receipt 203501
Payment Date: 11/19/2008
Household 7799 E Home Phone: (317)810 -9162 7, V 1 Work Phone: (317)655 -9111
1 2008
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: Pass Management 146.15- 146.15 0.00
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 146.15 DR
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 191.00
Processed on 11/19/08 18:53:06 by RDG NEW REFUND AMOUNT 146.15
=TOTAL REFUNDABLE�AMOUNT A51'
NEW NET CREDIT HOUSEHOLD BALANCE 44.85
Refund of 146.15 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
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Authorized Signature Date Authorized Signature Date
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n S.l (.,j e� S C��
1 -)733 6 ,13 13 6 q
Page 1
ACCOUNTS PAYABLE VOUCHER
�T 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.
Ashby, Gillian Terms
1216 Claridge Way North Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/19/08 203501 Refund 146.15
Total 146.15
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.
Ashby, Gillian Allowed 20
1216 Claridge Way North
Carmel, IN 46032
In Sum of
146.15
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 203501 4358400 146.15 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
5 -Dec 2008
Signature
146.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund