163468 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: T359519 Page 1 of 1
ONE CIVIC SQUARE TRACY DARLAND CHECK AMOUNT: $18.75
CARMEL, INDIANA 46032 656 BIRDSONG LANE
CARMEL IN 46032 CHECK NUMBER: 163468
CHECK DATE: 9/3/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 179049 18.75 REFUNDS AWARDS INDE
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I
ACTIVITY REFUND RECEIPT
REC ,TVIZD
Receipt 179049
Payment Date: 08/20/2008 AUG 2 S 2008
Household 6598
Home Phone: (317)569 -1236
Work Phone: BY:
TRACY DARLAND Monon Center
656 BIRDSONG LANE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bat Refund New Bat
Module: Activity Registration 18.75- 18.75 0.00
G/L Cod Descr Ac count N C st Cntr Descriptio Account Numb Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 18.75 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 18.75
Processed on 08/20/08 11:28:30 by LVA NEW REFUND AMOUNT 18.75
TOTAL REFUNDABLE AMOUNT 18.75
NEW NET HOUSEHOLD BALANCE 0.00
R nd of 18.75 Made By REFUND FINAN With Reference class cancelled
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.
.T�
U Authorized i nature date Authorized Signature Date
q 40
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.
Darland, Tracy Terms
656 Birdsong Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/20/08 179049 Refund 18.75
Total 18.75
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Darland, Tracy Allowed 20
656 Birdsong Lane
Carmel, IN 46032
In Sum of$
18.75
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 179049 4358400 18.75 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
28 -Aug 2008
Signature
18.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
e