164021 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 361876 Page 1 of 1
1 ONE CIVIC SQUARE ASHLEY WILLIAMS CHECK AMOUNT: $36.00
CARMEL, INDIANA 46032
CHECK NUMBER: 164021
CHECK DATE: 9/1712008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 36.00 UNIFORMS
r;
Prescritled by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Ashley L. Williams Purchase Order No.
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/29/08 reimburse Officer Ashley Williams for uniform pants 36.00
being hemmed
Total
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.
ALLOWED 20
Ashley L. Williams
IN SUM OF
36.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 560 -01 36.00 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
September 11 2 0 08
Signature
Chief of P01ice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
CITY OF CARMEL, INDIANA VENDOR: T360730 Page 1 of 1
ONE CIVIC SQUARE ASIA WILLIAMS CHECK AMOUNT: $91.00
CARMEL, INDIANA 46032 469 AUTUMN OR
CARMEL IN 46032 CHECK NUMBER: 155958
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1.046 4358400 82979 91.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 82979
Payment Date: 01/09/2008 1 A N 1 C 210 0 1 8 3
Household 12584 i
Home Phone: (317)529 -5777
Work Phone: 317) 598 -4300
ASIA WILLIAMS Carmel Clay Parks Recreation
459 AUTUMN DR. 1235 Central Park Drive East
CARMEL, IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Enrollment Details
CANCELLATION Refund Of 91.00
Enrollee Name: James II Williams Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number. 406001 -12 OP Monthly Before /Af 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/21/2007 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 01/07/2008 to 02/01/2008
Orchard Park Element 2:30P to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 20
CANCELLATION
Enrollee Name: James II Williams Fees Tax Discount Prey Paid Cur Paid Amount Due
Activity Number: 406001 -14 OP Monthly Before /Af 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/21/2007 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 02/04/2008 to 02/29/2008
Orchard Park Element 2:30P to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 20
CANCELLATION
Enrollee Name: James II Williams Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 406001 -16 OP Monthly Before /Af 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/21/2007 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 03/03/2008 to 04/04/2008
Orchard Park Element 2:30P to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 25
Page 1
,b
ACTIVITY REFUND RECEIPT
Receipt 82979
Payment Date: 01/09/08
Household 12584
CANCELLATION
Enrollee Name: James II Williams Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 406001 -18 OP Monthly Before /Af 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/21/2007 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 04/14/2008 to 05/02/2008
Orchard Park Element 2:30P to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 15
CANCELLATION
Enrollee Name: James II Williams Fees Tax Discount Prev Paid Cur Paid Amount Due
Activity Number: 406001 -20 OP Monthly Before /Af 0.00 0.00 0.00 0.00 0.00
Enrollment Date: 12/21/2007 (Cancelled)
Class Location: Orchard Park Elem Class Dates: 05/05/2008 to 05/30/2008
Orchard Park Element 2:30P to 6:OOP
10404 Orchard Park Drive South M,Tu,W,Th,F
Indianapolis, IN 46280
(317)848 -7275 Scheduled Sessions: 20
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 91.00 DR
The REVENUE account was DEBITED and the CONTROL account was CREDITED on the day of the refund.
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 818.00
Processed on 01/09/08 08:29:02 by JEH FEES CHANGED ON CANCELLED ITEMS 909.00
DISCOUNT APPLIED AGAINST CANCELLED FEES 0.00
SALES TAX CHARGED ON CANCELLED FEES 0.00
NET AMOUNT FROM CANCELLED ITEMS 909.00
HH BALANCE APPLIED, TO, THIS. RECEIPT; 818.00;
TOTAL AMOUNT REFUNDED 91.60
NEW NET HOUSEHOLD BALANCE 0.00
Refund Type: Refund from Finance
Refund of 91.00 Made By JOURNAL -RF With Reference
Page #2
ACTIVITY REFUND RECEIPT
Receipt 82979
Payment Date: 01/09/08
ti Household 12584
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash or credit card refunds.
A6tho Signature Date Authorized Signature Date
/JO (,5N 001'- A) t--�b
0�
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Page 3
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.
Asia Williams Terms
459 Autumn Dr. Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/9/08 82979 Refund 91.00
Total 91.00
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.
Asia Williams Allowed 20
459 Autumn Dr.
Carmel, IN 46032
In Sum of
91.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 82979 4358400 91.00 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
16 -Jan 2007
Sig u
91.00 usi s rvice Manager
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund