HomeMy WebLinkAbout159949 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: T361075 Page 1 of 1
ONE CIVIC SQUARE MARIAM KHANI CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 4078 WILD WOOD CT
rod `o+ ZIONSVILLE IN 46077 CHECK NUMBER: 159949
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1_046 4358400 117272 150.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 117272
Payment Date: 05/20/2008
Hotdsehold 16347
Home Phone: (317)733 -0786
Work Phone: (317)
MARIAM KHAN Monon Center
4078 WILD WOOD CT Carmel IN 46032
ZIONSVILLE IN 46077
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 150.00- 150.00 0.00
G/L Code Descriptio Accou N umbe r Cst_C Descriptio Ac cou nt Num _Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 150.00 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 150.00
Processed on 05/20/08 10:13:17 by JAS NEW REFUND AMOUNT 150.00
TOTAL REFUNDABLE AMOUNT 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By JOURNAL -RF With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. U or credit card refunds.
0 U. of
Aut r Signature Date Authorized Signature Date
va a
F 2 0 2008
-7
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.
Khan, Mariam Terms
4078 Wild Wood Ct Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/20/08 117272 Refund 150.00
Total 150.00
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
VouCrner No. Warrant No.
Khan, Mariam Allowed 20
4078 Wild Wood Ct
Zionsville, IN 46077
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 117272 4358400 150.00 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
27 -May 2008
/--�ignatdW
150.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund