HomeMy WebLinkAbout156114 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 360812 Page 1 of 1
ONE CIVIC SQUARE TIMOTHY BROACH
CARMEL, INDIANA 46032 3474 GLEN ABBE CT CHECK AMOUNT: $65.00
CARMEL IN 46032 CHECK NUMBER: 156114
CHECK DATE: 216/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 87234 65.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 87234
Pa' ;rnent Date: 01/23/2008
Hou;ehoid 10144
Home Phone: (317)876 -1660
Work Phone: (317)627 -1140 JAN 0 2QQ8
BY: (2c(e,
TIMOTHY BROACH Carmel Clay Parks Recreation
3474 GLEN ABBE CT. 1235 Central Park Drive East
CARMEL, IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Ono Bal Refund New Bal
Module: Activity Registration 65.00- 65.00 0.00
GIL Code Descript Account Number Cst Cntr Descri Accou Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 65.00 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 65.00
Processed on 01/23/08 11:00:50 by KAB NEW REFUND AMOUNT 65.00
TOTAL >REFUN DABLE'AMOUNT..-. W65:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 65.00 Made By JOURNAL -RF 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.
112, OWL
7 Authorized Signature Date Authorized Signature Date
�60
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
q whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Timothy Broach Terms
3474 Glen Abbe Ct. Date Due
Carmel, IN 46032
f
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/08 87234 Refund 65.00
Total 65.00
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.
Timothy Broach Allowed 20
3474 Glen Abbe Ct.
Carmel, IN 46032
In Sum of
65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#rrJTLE AMOUNT Board Members
Dept
1047 87234 4358400 65.00 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
30 -Jan 2008
Sig ature
65.00 Busine Sery es Manager
Cost distribution ledger classification if
claim paid motor vehicle highway fund