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160362 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361376 Page 1 of 1 ONE CIVIC SQUARE LAURA GOAR CARMEL, INDIANA 46032 1019 INDIAN TRAILS DR APT D CHECK AMOUNT: $140.00 CARMEL IN 46032 CHECK NUMBER: 160362 CHECK DATE: 6/1012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 119155 140.00 REFUNDS AWARDS INDE m a rAbb rctruNU rctUtir i eceipt ---119155 ayment Date: 05/26/2008 ousehold 2713 ome Phone: (317)289 -1301 /ork Phone: (317)726 -5013 LAURA GOAR Monon Center 1019 INDIAN TRAILS DR. APT D 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 140.00- 140.00 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 140.00 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 HOUSEHOLD BALANCE 140.00 Processed on 05/26/08 10:27:19 by CEK NEW REFUND AMOUNT 140.00 TOTAL REFUNDABLE AMOUNT 140.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 140.00 Made By JOURNAL -RF With Reference part-time employee All refunds are subject to State Board of Accounts claim procedure and may take weeks to process. A check will be issued. No cash or credit card refunds. Authorized Signature f Date Author&W81 to to CEI�T I� MAY 2 9 2008 BY: Page 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invo'ce 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. Goar, Laura Terms 1019 Indian Trails Dr., Apt D Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/26/08 119155 Refund 140.00 Total I 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. Goar, Laura Allowed 20 1019 Indian Trails Dr., Apt D i Carmel, IN 46032 In Sum of 140.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 119155 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 4 -Jun 2008 !Sign tur 140.00 Busine Se es Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund