HomeMy WebLinkAbout164475 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361915 Page 1 of 1
0 ONE CIVIC SQUARE JANE USAB CHECK AMOUNT: $91.00
i•. 1, CARMEL, INDIANA 46032 11209 DELIGHT CIRCLE
FISHERS IN 46038
CHECK NUMBER: 164475
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
*1047 4358400 91.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 185262
CEIVED
Payment Date: 09/03/2008 SEP 2
Household 21131 i5 2008
Home Phone: (317)439 -9349
Work Phone: (317) BY:
JANE USAB Monon Center
11209 DELIGHT CIRCLE Carmel IN 46032
FISHERS IN 46038
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bat Refund New Bal
Module: Activity Registration 91.00 91.00 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 91.00 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 CREDIT HOUSEHOLD BALANCE 91.00
Processed on 09/03/08 05:15:23 by RDG NEW REFUND AMOUNT 91.00
TOTAL REFUNDABLE AMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 91.00 Made By REFUND FINAN With Reference
All refunds are sub' to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No .edit car efund I q
th i Signat e Date Authorized Signature Date
43 5' NJO
ZJ 3, C) l IG I
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.
r Payee
Purchase Order No.
Usab, Jane Terms
11209 Delight Circle Date Due
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/08 185262 Refund 91.00
Total 91.00
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.
Usab, Jane Allowed 20
11209 Delight Circle
Fishers, IN 46038
In Sum of
91.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 185262 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
25 -Sep 2008
Signature
91.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund