160296 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: T361375 Page 1 of 1
ONE CIVIC SQUARE PAUL CHILDRESS
Is CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 355 ATHERTON DR
cARMELIN 46032 CHECK NUMBER: 160296
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 117967 30.00 REFUNDS AWARDS INDE
i
PASS REFUND RECEIPT
Receipt 117967
Payment Date: 05/22/2008
Household 18355
Home Phone: (317)816 -9278
Work Phone:
PAUL CHILDRESS Carmel Clay Parks Recreation
355 ATHERTON DRIVE 1235 Central Park Drive East
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 30.00- 30.00 0.00
G/L Code Description Account Number Cst Cntr Description Account Number A mount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 30.00 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 30.00
Processed on 05/22/08 06:11:10 by LVA NEW REFUND AMOUNT 30.00
70TAL`REFUN DAB LE AMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By JOURNAL -RF With Reference
All ref subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i No h or credit card refunds.
Authorized Signature Date Authorized Signature Date
yrM11 N 2G0&
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.
Childress, Paul Terms
355 Atherton Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount 3
0.00
5122108 117967 Refund
Total 30.00
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
m
Voucher No. Warrant No.
Childress, Paul Allowed 20
.355 Atherton Drive
Carmel, IN 46032
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1047 117967 4358400 30.00 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
6 -Jun 2008
r
Sig ure
30.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund