HomeMy WebLinkAbout159496 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T359149 Page 1 of 1
~f ONE CIVIC SQUARE POLLY MOHR
CARMEL, INDIANA 46032 2021 MUSTANG CHASE DR CHECK AMOUNT: $60.00
WESTFIELD IN 46074
CHECK NUMBER: 159496
CHECK DATE: 5114/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4358400 60.00 PARKS DEPARTMENT REFU
I
1
r
I GLOBAL REFUND RECEIPT
Receipt 112237
Payment Date: 05/01/2008
Household 4745
Home Phone: (317)569 -9098
Work Phone: (317)
POLLY MOHR Carmel Clay Parks Recreation
2021 MUSTANG CHASE DR 1235 Central Park Drive East
WESTFIELD IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 90.00- 60.00 30.00
G_ /L_Code Description Account Number Cst.Cntr Description Account Number__ .___._...A
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 CREDIT HOUSEHOLD BALANCE 60.00
Processed on 05/01108 09:07:02 by BJC NEW REFUND AMOUNT 60.00
TOTAL REFUNDABLE AMOUNT 60.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.00 Made By JOURNAL -RF With Reference
All refunds are subject to State Board of Accounts claim procedure and m ake 4 -6 eeks t cess. A check will be
issue f No cash or credit card refunds.
W ate Au oriz cl i nature Date uthorzed Si natur
L I 0 0
PIE
9 9
J
MAY 0 u 2008 1
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.
Mohr, Polly Terms
2021 Mustang Chase Dr Date Due
Westfield, In 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/1/08 112237 Refund 60.00
Total 60.00
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.
Mohr, Polly Allowed 20
2021 Mustang Chase Dr
V Westfield, In 46074
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
t
Po# or Board Members
Dept
INVOICENO. ACCT #/TITLE AMOUNT
1047 !12237 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
I
12 -May 2008
Signat U
60.00 Business Se Manager
cost distribution ledger classification if Title
claim paid motor vehicle highway fund