HomeMy WebLinkAbout161806 07/23/2008 a CITY OF CARMEL, INDIANA VENDOR: 361614 Page 1 of 1
ONE CIVIC SQUARE AARON ELLSWORTH
�o CARMEL, INDIANA 46032 50 HORSESHOE LANE CHECK AMOUNT: $280.00
CARMEL IN 46033 CHECK NUMBER: 161806
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
11047 4358400. 280.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Rec,eipt 151997
Payment Date: 07/15/2008
Household 17369) 7 7
Home Phone: (317)848 -1074
Work Phone: (317)273 -4014 JUL 7 2008
AARON ELLSWORTH Monon Center
50 HORSESHOE LN Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 280.00- 280.00 0.00
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 280.00 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 280.00
Processed on 07/15/08 09:32:41 by BJC NEW REFUND AMOUNT 280.00
TOTAL REFUNDABLE AMOUNT 280.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 280.00 Made By REFUND FINAN With Reference cancellation refund
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.
Aut riz Signature 6ate Authorized Signature Date
S X
3
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.
Ellsworth, Aaron Terms
50 Horseshoe Ln Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/08 151997 Refund 280.00
Total 280.00
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.
Ellsworth, Aaron Allowed 20
50 Horseshoe Ln
Carmel, IN 46033
In Sum of
280.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #(TITLE AMOUNT Board Members
Dept
1047 151997 4358400 280.00 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
18 -Jul 2008
J
Signature
280.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund