166269 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: T362182 Page 1 of 1
0 ONE CIVIC SQUARE JON JESSUP CHECK AMOUNT: $107.52
CARMEL, INDIANA 46032 1288 HELFORD LANE
v CARMEL IN 46032 CHECK NUMBER: 166269
CHECK DATE: 11/24/2008
15 EPARTM EN T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 200383 107.52 REFUNDS AWARDS INDE
000200383
Monon Center Clerk: RDG
Date: 11/11/2008 Time: 05:09:03
H /H: Jon Jessup I269
F /M: Cathy Jessup
Description Ext Price
Pass 0 Type 142.48
Yly GF Res Unli
From 04/17/2008 04/17/2009
Rcpt# 200383 Prev Bal 0.00
New Charges 107.52 r�
New Tax: 0.00
Total Due: 107.52- NOV 1 3 2008
Tot Refund: 107.52 BY:-
New Bal: 0.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 107.52
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.
U--- -1t 11-v- 1pi
Authorized signature Date
/M/1
Authorized signature Date
Rcpt# 200383
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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.
Jessup, Jon Terms
1288 Helford Ln Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/11/08 200383 Refund 107.52
Total I 107.52
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.
Jessup, Jon Allowed 20
1288 Helford Ln
Carmel, IN 46032
In Sum of
107.52
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 200383 4358400 107.52 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
17 -Nov 2008
Signature
107.52 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund