HomeMy WebLinkAbout165396 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: T362059 Page 1 of 1
0 z ONE CIVIC SQUARE SCOTT PITTMAN CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 13585 DITCH ROAD
CARMEL IN 46032 CHECK NUMBER: 165396
CHECK DATE: 10/2912008
DEPARTMENT ACCOUNT P O NUM INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 193078 30.00 REFUNDS AWARDS INDE
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.7
ACTIVITY REFUND RECEIPT
Receipt 193078
Payment Date: 10/08/2008 OC I a 2008
Household 22429
Home Phone: (317)843 -1139
Work Phone: (317)844 -5273 BY:
J. SCOTT PITTMAN Monon Center
13585 DITCH ROAD Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 30.00- 30.00 0.00
G /LCode_ Qescrption__, Account Number Cst_Cntr Description_ Account_Number. Am ount
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 10/08108 L7a 14:54:11 by MML NEW REFUND AMOUNT 30.00
TOTAL REFUNDABLE AMOUNT 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 30.00 Made By REFUND FINAN With Reference badminton cancelled
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. as r credit card refun ds. l
0 A,
Authorized 5ignatuX Date l Authorized Signature Date
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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,
Pittman, J. Scott Terms
13585 Ditch Road Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1018108 193078 Refund 30.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Pittman, J. Scott Allowed 20
13585 Ditch Road
Carmel, IN 46032
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 193078 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
14 -Oct 2008
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund