165140 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362036 Page 1 of 1
t ONE CIVIC SQUARE SHERRY BEVERLY
I€ Q CHECK AMOUNT: $58.00
CARMEL, INDIANA 46032 7208 REBECCA SE
ALBURNwA 98092 CHECK NUMBER: 165140
CHECK DATE: 10129/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 191720 58.00 REFUNDS AWARDS INDE
F
a�=
GLOBAL REFUND RECEIPT
C
[OCT Receipt 191720
Payment Date: 10/03/2008 2 2 2008
Household 4600
Home Phone: (317)733 -1497
Work Phone: (317)733 -1497 BY:
SHERRY BEVERLEY Monon Center
-710�F b&W Carmel IN 46032
!m cynt�ngv Qg O��' Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 58.00- 58.00 0.00
GIL Code Descri Account Number Cst Cntr Descri Accoun Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 58.00 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 CREDIT HOUSEHOLD BALANCE 58.00
Processed on 10/03108 10:14:59 by EMB NEW REFUND AMOUNT 58.00
"TOTAL REFUNDABLE r
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 58.00 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. A check will be
issued. No cash or credit card refunds.
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Authorize Signature Date Authorized Signature Date
H 2�DO �00 �:�S7HOO
UV d c 1 T "�v`'"" U ��.,vl J V Lc o I.a t (c (t `l�l .:f 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.
Beverly, Sherry Terms
7208 Rebecca SE Date Due
Alburn, WA 98092
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/3/08 191720 Refund 58.00
Total 58.00
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.
Beverly, Sherry Allowed 20
7208 Rebecca SE
Alburn, WA 98092
I n Sum of
I
58.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1047 191720 4358400 58.00 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
22 -Oct 2008
"al
Signature
58.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund