HomeMy WebLinkAbout165481 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362068 Page 1 of 1
0 ONE CIVIC SQUARE ANDREA WILLIAMS CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 4550 BUCKINGHAM CT
CARMEL IN 46033
CHECK NUMBER: 165481
CHECK DATE: 10129/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 193182 30.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 193182
Payment Date: 10/09/2008
Household 21642 s�
Home Phone: (317)810 -9310
Work Phone: O C T g 4 2008
BY:
ANDREA WILLIAMS Monon Center
4550 BUCKINGHAM CT. 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 30.00- 30.00 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 30.00 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 30.00
Processed on 10/09/08 09:27:10 by CNA NEW REFUND AMOUNT 30.00
TOTAL REFUNDABLE AMOUNT 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference Low enrollment: baby yoga
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.
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A horized Signature Date Authorized Signature Date
4T3b0 _30(). 1 35 3 C,yocC 1-1
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Page 1
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.
Williams, Andrea Terms
4550 Buckingham Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/9/08 193182 Refund 30.00
Total 30.00
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.
Williams, Andrea Allowed 20
4550 Buckingham Ct
Carmel, IN 46033
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 193182 4358400 30.00 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
14 -Oct 2008
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund