164420 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361913 Page 1 of 1
ONE CIVIC SQUARE GURPREET SAINI CHECK AMOUNT: $60.00
CARMEL, INDIANA 46032 109 COOL CREEK BLVD APT #4
CARMEL IN 46032 CHECK NUMBER: 164420
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
_..1047 4358400 60.00 REFUNDS AWARDS INDE
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ACTIVITY REFUND RECEIPT
RE 7-D
Receipt 186917 SE
Payment Date: 09/11/2008
Hc,gsehold 16786
Home Phone: (317)815 -0113 BY:
Work Phone:
GURPREET SAINI Monon Center
109 COOL CREEK BLVD, APT 4 Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 60.00- 60.00 0.00
G/L Code Descri A ccount Number Cst Cn Description Account Number Amount
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 HOUSEHOLD BALANCE 60.00
Processed on 09/11/08 10:49:37 by LVA NEW REFUND AMOUNT 60.00
TOTAL REFUNDABLE AMOUNT 60.00
v ti NEW NET HOUSEHOLD BALANCE 0.00
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Refund of 60.00 Made By REFUND FINAN With Reference low enroll
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 ig ature ate Authorized Signature Date
t�7 u0.300. N
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.
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Payee
Purchase Order No.
Saini, Gurpreet Terms
109 Cool Creek Blvd. Apt# 4 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/11 /08 186917 Refund 60.00
I
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
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Voucher No. Warrant No.
Saini, Gurpreet Allowed 20
109 Cool Creek Blvd. Apt# 4
Carmel, IN 46032
In Sum of
60.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 186917 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
23 -Sep 2008
Signature
60.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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