HomeMy WebLinkAbout166800 12/20/2008 "Mf CITY OF CARMEL, INDIANA VENDOR: T362186 Page 1 of 1
ONE CIVIC SQUARE GREGORY MEDLEY CHECK AMOUNT: $87.00
CARMEL, INDIANA 46032 509 -A HUNTERS DRIVE WEST
CARMEL IN 46032
CHECK NUMBER: 166800
CHECK DATE: 12/10/2008
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMB A MOUNT DESCRIPTION
1047 4358400 205462' 87.00 REFUNDS AWARDS INDE
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GLOBAL REFUND RECEIPT
Receipt 205462
Payment Date: 12/01/2008
Household 13968
Home Phone: (317)407 -5625
Work Phone: (317)
GREGORY MEDLEY Carmel Clay Parks Recreation
,D9 -A HUNTERS DRIVE WEST 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
DEC 1
Refund Details
I Orio Bal Refund New Bal
Module: Pass Management 87.00- 87.00 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 87.00 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 87.00
Processed on 12/01/08 12:06:40 by ABK NEW REFUND AMOUNT 87.00
TOTAL REFUNDABLE AMOUNT 87.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 87.00 Made By REFUND FINAN With Reference Cust req
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.
Authorized Signature Date Authorized Signature Date
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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.
Medley, Gregory Terms
509 -A Hunters Drive West Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/08 205462 Refund 87.00
Total 87.00
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.
Medley, Gregory Allowed 20
509 -A Hunters Drive West
Carmel, IN 46032
In Sum of
87.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO. ACCT #/TITLE AMOUNT
1047 205462 4358400 87.00 I 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
5 -Dec 2008
Signature
87.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund