HomeMy WebLinkAbout164252 09/30/2008 CITY OF CARMEL, INDIANA VENDOR:. T361901 Page 1 of 1
r 0 ONE CIVIC SQUARE SARAH GRAY
CARMEL, INDIANA 46032 17332 PINE WOOD LANE CHECK AMOUNT: $65.00
WESTFIELD IN 46074
CHECK NUMBER: 164252
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 65.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
Receipt 186475 C—,IzT FD
Payment Date: 09/09/2008
Household 18870 SEP 7 2008
Home Phone: (317)663 -4757
Work Phone:
7BY:
SARAH GRAY Monon Center
17332 PINE WOOD LANE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Ono Bal Refund New Bal
Module: Activity Registration 65.00 65.00 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 65.00 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 65.00
Processed on 09/09/08 10:29:02 by CEK NEW REFUND AMOUNT 65.00
TOTAL REFUNDABLE AMOUNT 65.00;
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 65.00 Made By REFUND FINAN With Reference dance class cancel
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.
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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.
Gray, Sarah Terms
17332 Pine Wood Lane Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/9108 186475 Refund 65.00
Total 65.00
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.
Gray, Sarah Allowed 20
17332 Pine Wood Lane
Westfield, IN 46074
In Sum of
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65.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 186475 4358400 65.00 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
23 -Sep 2008
Signature
65.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund