161922 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: T361169 Page 1 of 1
0 t ONE CIVIC SQUARE KRISTINA LANE
CARMEL, INDIANA 46032 9917 OAK RIDGE DR CHECK AMOUNT: $180.00
ZIONSVILLE IN 46077 CHECK NUMBER: 161922
CHECK DATE: 712312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER e AMO DESCRIPTION
1047 4358400 180.00 PARKS DEPAR'T'MENT REFU
i
i
I GLOBAL REFUND RECEIPT
Receipt 134801
Payment Date: 06/19/2008 CET-V
Household 14879
Home Phone: (317)733 3794 JUL 7 2008
Work Phone: (317)
J;
KRISTINA LANE Monon Center
9917 OAK RIDGE DR Carmel IN 46032
ZIONSVILLE IN 46077
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio BaI R efund New Bat
Module: Activity Registration 180.00 180.00 0.00
GIL Co dt Description. Account Number_ CS, Cnir, Description__ Acount Number.. Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 160 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 180.00
Processed on 06/19/08 10:56:29 by EDR NEW REFUND AMOUNT 180.00
TOTAL REFUNDABLE AMOUNT 18000
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 180.00 Made By JOURNAL -RF With Reference wants check mailed
All refunds pre subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N °cash or cr d�card refunds.
7
Authorized Signature Date Authorized Signature Date
Ll
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.
Lane, Kristina
Terms
9917 Oak Ridge Drive Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6119/08 134801 Refund 180.00
Total 180.00
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.
Lane, Kristina Allowed 20
9917 Oak Ridge Drive
F Zionsville, IN 46077
In Sum of
�4
180.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 134801 4358400 180.00 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
18 -Jul 2008
Signature
180.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund