166321 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: T362189 Page 1 of 1
ONE CIVIC SQUARE YEN NGUYEN CHECK AMOUNT: $42.00
s �z' CARMEL, INDIANA 46032 4060 DOLAN WAY
WESTFIELD IN 46074 CHECK NUMBER: 166321
CHECK DATE: 11/2412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION
1047 4358400 189422 42.00 REFUNDS AWARDS INDE
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Yen Nguyen receipt B Y
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Monon Center Clerk: ARH
Date: 09/18/2008 Time: 21:20:19
H/H Yen Nguyen D
F /M: Christopher Nguyen
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Descri ti on Ext Price- H uoo �C)O -n ay
Class: 285001 01(ENROLLED)
Li 1 Dragons TKD rev 0.00
Class Dates: 09/11/2008 10/30/2008
Class Times: 4:30P 5:OOP
Meeting Days: Th
Class Location:
Gymnasium C
Monon Center
Carmel, IN 46032 J 350 p� 14 35'N OD
Rcpt# 189422 Prev Bal: 0.00
New Charges 42.00
New Tax: 0.00
Total Due: 42.00
Tot Refund: 42.00
New Bal: 0.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 42.00
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.
-79F- yr-4
Authorized signature Date
Authorized signature Date
0! 11
Rcpt# 189422
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om
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.
Nguyen, Yen Terms
4060 Dolan Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9118/08 189422 Refund 42.00
Total 42.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Nguyen, Yen Allowed 20
4060 Dolan Way
Westfield, IN 46074
In Sum of
42.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 189422 4358400 42.00 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
17 -Nov 2008
Signature
42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund