165805 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 362149 Page 1 of 1
ONE CIVIC SQUARE KATHLEEN HUME
CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 290 CARMELVIEW DR
CARMEL IN 46032 CHECK NUMBER: 165805
CHECK DATE: 11/12/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 55.00 PARKS DEPARTMENT REFU
�E 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.
Hume, Kathleen Terms
290 Carmelview Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/24/08 196752 Refund 55.00
Total 55.00
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.
Hume, Kathleen Allowed 20
290 Carmelview Dr
Carmel, IN 46032
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 196752 4358400 55.00 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
31 -Oct 2008
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund