HomeMy WebLinkAbout165799 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 362148 Page 1 of 1
ONE CIVIC SQUARE TIRAJEH HILL CHECK AMOUNT: $87.00
CARMEL, INDIANA 46032 13515 LORENZO BLVD
WESTFIELD IN 46074
CHECK NUMBER:. 165799
CHECK DATE: 11112/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 87.00 PARKS DEPARTMENT REFU
a
rr
PASS REFUND RECEIPT
Receipt 197096
Payment Date: 10/27/2008 a
Household 4188 C ED
Home Phone: (317)873 -8669
Work Phone: (317) C T 2 8 700$
BY:
TIRAJEH HILL Monon Center
13515 LORENZO BLVD. Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 87.00- 87.00 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 87.00 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 87.00
Processed on 10/27/08 10:07:25 by JAS NEW REFUND AMOUNT 87.00
TOTAL REFUNDABLE AMOUNT87.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 87.00 Made By REFUND FINAN With Reference check refund
All refunds ar subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss ed. No s or credit card rqfunds.
U ti1' 0
Autho d Sig re Date Authorized Signature Date
Page 1
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
0
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.
Hill, Tirajeh Terms
13515 Lorenzo Blvd. Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/08 197096 V Refund 87.00
Total 87.00
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.
Hill, Tirajeh Allowed 20
13515 Lorenzo Blvd.
Westfield, IN 46074
In Sum of
87.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 197096 4358400 87.00 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
31 -Oct 2008
a n D)7�
Signature
87.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund