164498 09/30/2008 CITY OF CARMEL INDIANA VENDOR: T361916 Page 1 of 1
ONE CIVIC SQUARE YI YUAN
1 CHECK AMOUNT: $18.75
CARMEL, INDIANA 46032 3155 WILDMAN LAND
o� CARMEL IN 46032 CHECK NUMBER: 164498
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
:1047 4358400 18.75 REFUNDS AWARDS INDE
rE
ACTIVITY REFUND RECEIPT
Receipt 185823
Payment Date: 09/05/2008 CRYV8Ij
N, usehold 19267
Home Phone: (317)644 -0872 SEP 1 7 2008
C� rk Phone:
BY:
YI YUAN Monon Center
3155 WILDMAN LANE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 18.75- 18.75 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 18.75 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 18.75
Processed on 09/05/08 11:24:05 by TCP NEW REFUND AMOUNT 18.75
TOTAL, REFUNDABLE AMOUNT 18:'7,5
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 18.75 Made By REFUND FINAN With Reference HH to check
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 orcrredit card refunds.
oc
A uthorized Signature Date Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER
u 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.
Yuan, Yi Terms
3155 Wildman Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/08 185823 Refund 18.75
Total 18.75
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.
Yuan, Yi Allowed 20
3155 Wildman Lane
Carmel, IN 46032
In Sum of
's
18.75
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 185823 4358400 18.75 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
i
23 -Sep 2008
Signature
18.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund