165358 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362057 Page 1 of 1
ONE CIVIC SQUARE VICKI NEWLIN CHECK AMOUNT: $140.00
CARMEL, INDIANA 46032 11418 W CENTRAL DR
CARMEL IN 46032 CHECK NUMBER: .165358
CHECK DATE: 10/29/2008
DEPARTMENT AC COUN T PO NUMBER INVOICE NUMBER AM DESCRIPTION
1047 4358400 190839 140.00 REFUNDS AWARDS INDE
I
I
i G EIVE
O C i 1 4 2008
Motion Center ;;Y: Clerk: ARH
Date: 09/30/2008
H /fl: Vicki Newlin
F /M: Vicki Newlin
Description Fxt Price
Below Pass Is The Result Of A Transfer
Pass 0 Type 240.00
Prem. Yrly Sr R
From 09/30/2008 05/31/2009
Rcpt# 190839 Prev Bal: 0.00
New Charges 140.00
New Tax: 0.00
Total Due: 140.00
Tot Refund: 140.00
New Bal: 0.00
Ref and Type: Refund from f=inance
REFUND FINAN Refund of: 140.00
Payment. of 240.00
Made By Pass Mgt Credit Balance
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 rash or credit card refunds.
Authorized Signature Date
r1 l „s,,,k 'J A- s J
Authorized Signature Date
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19039
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.
Newlin, Vicki Terms
11418 W Central Dr Date Due
Carmel, IN 46032
J
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/30/08 190839 Refund 140.00
Total 140.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Newlin, Vicki Allowed 20
11418 W Central Dr
Carmel, IN 46032
In Sum of
140.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 190839 4358400 140.00 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 -Oct 2008
Signature
140.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i