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158441 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: T360100 Page 1 of 1 ONE CIVIC SQUARE MIN KI HONG CARMEL, INDIANA 46032 209 PROVIDENCE BLVD CHECK AMOUNT: $110.00 CARMEL IN 46032 CHECK NUMBER: 158441 CHECK DATE: 4/15/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1046 4358400 105851 110.00 REFUNDS AWARDS INDE I ACTIVITY REFUND RECEIPT Receipt 105851 Payment Date: 04/08/2008 E Household 5295 Home Phone: (317)815 -1691 Work Phone: MIN KI HONG Monon Center 209 PROVIDENCE BLVD. Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bat Refund New Bat Module: Activity Registration 110.00- 110.00 0.00 G1LCode Descriplion__. Account Number Cntr, Description Account Number_ Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 110.00 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 110.00 Processed on 04/08/08 13:30:24 by JAS NEW REFUND AMOUNT 110.00 TOTAL REFUNDABLE AMOUNT 110.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 110.00 Made By JOURNAL -RF With Reference paid too much 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. Authorized Signature Date Authorized Signature Date �3 O4,0 O8 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. Min Ki Hong Terms 209 Providence Blvd. Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 418108 105851 Refund 110.00 Total 110.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Min Ki Hong Allowed 20 209 Providence Blvd. Carmel, IN 46032 In Sum of 110.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members Dept 1046 105851 4358400 110.00 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 -Apr 2008 Signatu e 110.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund