165039 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: T361998 Page 1 of 1
0 ONE CIVIC SQUARE LISA NELSON CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 14384 ALLISON DR
CARMEL IN 46032 CHECK NUMBER: 165039
CHECK DATE: 10116/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUN DESCRIPTION
1047 4358400 60.00 PARKS DEPARTMENT REFU
J
I I
I
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ACTIVITY REFUND RECEIPT
Receipt 190550 RECIRIVED
Payment Date: 09/29/2008
Household 13392
Home Phone: (317)843 -8388 OCT 1 ton
Work Phone:
BY:
LISA NELSON Monon Center
14384 ALLISON DRIVE 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 60.00- 60.00 0.00
G/L Code Description Account Number Cst Cntr Description____________ Accoun Numb Amou
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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 60.00
Processed on 09/29/08 11:30:19 by LVA NEW REFUND AMOUNT 60.00
TOTAL REFUNDABLE AMOUNT 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By REFUND FINAN With Reference Ballet 1 low enroll
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue Nq cash or credit card refunds.
Authorized Sig ure Date Authorized Signature Date
X 7..3 '3 00, Lq 3 L40o
�nro►l E
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.
Nelson, Lisa Terms
14384 Allison Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/29/08 190550 Refund 60.00
r,
Total 60.00
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.
Nelson, Lisa Allowed 20
14384 Allison Drive
Carmel, IN 46032
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 190550 4358400 60.00 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
7 -Oct 2008
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund