HomeMy WebLinkAbout164304 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361883 Page 1 of 1
ONE CIVIC SQUARE DONG KIM
530 VISTA DR CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46280 CHECK NUMBER: 164304
CHECK DATE: 9/30/2008
D EPARTMENT ACCOUN P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 30.0,0 REFUNDS AWARDS INDE
1
ACTIVITY REFUND RECEIPT
SE
Receipt 189368 C-' F INFO
Payment Date: 09/1812008 SEP 2 9 2008
Household 21085
Home Phone: (317)490 -3223
Work Phone: BY:
DONG KIM Monon Center
530 VISTA DR. Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bat
Module: Activity Registration 30.00 30.00 0.00
G/L Cod Descri Account Nu Cst Cntr Des_cription� Ac count Number Amount
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 09/18/08 16:02:53 by LVA 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 dodgeball low enroll
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu No cash or credit card refunds.
Authorized S ature Date Authorized Signature Date
V!
7 r 3�. �3��11
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,
Kim, Dong Terms
530 Vista Dr Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18108 189368 Refund 30.00
Total 30.00
I 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.
.r
Kim, Dong Allowed 20
530 Vista Dr
Indianapolis, IN 46280
In Sum of
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rTiTLE AMOUNT Board Members
Dept
1047 189368 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
29 -Sep 2008
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund