166827 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: T362233 Page 1 of 1
ONE CIVIC SQUARE MADELINE OSBORNE
!i 0 CHECK AMOUNT: $173.34
CARMEL, INDIANA 46032 2518 LONDONBERRV BLVD
CARMEL IN 46032 CHECK NUMBER: 166827
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 182961 173.34 REFUNDS AWARDS INDE
f
GLOBAL REFUND RECEIPT
Receipt 182961
Payment Date: 08/30/2008
Household 5560
Home'Phone: (317)871 -0304 DEC 0 1 2008
Work Phone:
MADELINE OSBORNE Monon Center
2518 LONDONBERRY BLVD Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 173.34- 173.34 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 173.34 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 173.34
Processed on 08/30/08 18:27:18 by ARH NEW REFUND AMOUNT 173.34
TOTAL REF UN DAB LE`AMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 173.34 Made By REFUND FINAN With Reference
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
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.
Osborne, Madeline Terms
2518 Londonberry Blvd Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8130108 182961 Refund 173.34
Total 173.34
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.
Osborne, Madeline Allowed 20
2518 Londonberry Blvd
Carmel, IN 46032
In Sum of
173.34
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 182961 4358400 173.34 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
5 -Dec 2008
Signature
173.34 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund