HomeMy WebLinkAbout198801 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365433 Page 1 of 1
ONE CIVIC SQUARE XIAOLIANG WANG
CARMEL, INDIANA 46032 3884 LONG RIDGE BLVD CHECK AMOUNT: $276.00
WESTFIELD IN 46074 CHECK NUMBER: 198801
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 643665 276.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 643665
Payment Date: 06/16/11
Household 965
Monon Community Center Xiaoliang Wang Hm Ph: (317)873 -2583
Carmel IN 46032 3884 Long Ridge Blvd Wk Ph: (317)
Westfield IN 46074 Cell Ph: (317)748-5134
binhong @hotmail.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 276.00- 276.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 276.00
Processed on 06/16/11 09:45:20 by JAB NEW REFUND AMOUNT 276.00
TOTAL"REFUNAABL'EiAMOUNT: 7' —276-00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 276.00 Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss d. No cash or credit card refunds.
Au or
ad Signature Date Authorized Signature Date
Due to unpredictable weather throughout the night, Family Campout has been cancelled and will be postponed until next
Friday, June 17 -18. Still interested? Signups will be accepted through Thursday, June 16. If you are unable to attend because
of the change, please call Sarah at 317.573.5243.
&4- U C
+3 �-s
J UN 201 1
BY..
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.
Wang, Xiaoliang Terms
3884 Long Ridge Blvd Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s))
Amount
121 -00
6/16111 643665 Refund 155.00
6/16111 643665 Refund
Tota! 276.00
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
20
Clerk- Treasurer
Voucher No. Warrant No.
Wang, Xiaoliang Allowed 20
3884 Long Ridge Blvd
Westfield, IN 46074
In Sum of$
276.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
Po# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1082 -1 643665 4358400 121.00 1 hereby certify that the attached invoice(s), or
1082 -98 643665 4358400 155.00 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
16 -Jun 2011
Signature
276.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund