163609 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: T361814 Page 1 of 1
ONE CIVIC SQUARE ANGELA ARLINGTON
s CHECK AMOUNT: $105.00
CARMEL, INDIANA 46032 459 FILMORE DRIVE
WESTFIELD IN 46074 CHECK NUMBER: 163609
CHECK DATE: 9/17/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESC
1047 4358400 185147 105.00 REFUNDS AWARDS INDE
1
I
ACTIVITY REFUND RECEIPT
Receipt 185147
Payment Date: 09/02/2008
Household 5165
Home Phone: (317)867 -5429
Work Phone: C V -r D
SEP 0 8 2008
ANGELA ARLINGTON Monon Center BY
459 FILMORE DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details LXLX)
y0uJ
Orio Bal Refund New Bal
Module: Activity Registration 105.00- 105.00 0.00
G /LCod.e Description AccountNumber_ Cst_Cntr Description Account_ Number__ Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 105.00 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 HOUSEHOLD BALANCE 105.00
Processed on 09/02/08 17:39:03 by LVA NEW REFUND AMOUNT 105.00
TOTAL REFUNDABLE AMOUNT 105.00
NEW NET HOUSEHOLD BALANCE 0.00
I t
Refund of 105.00 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. check All be
issu d. No cash or credit card refunds.
0&4- Pow o
Authorized i nature ate Authorized Signature Date
7.3(.00 �00 q5�� d0
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.
Arlington, Angela Terms
459 Filmore Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
105.00
9/2/08 185147 Refund
Total 105.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Arlington, Angela Allowed 20
459 Filmore Drive
Westfield, IN 46074
In Sum of
105.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 185147 4358400 105.00 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
9 -Sep 2008
Signature
105.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund