159612 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: T361265 Page 1 of 1
ONE CIVIC SQUARE LAUREN SPATAFORE
12746 EDGEMONT WAY CHECK AMOUNT: $74.76
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 159612
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 112656 74.76 REFUNDS AWARDS INDE
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I
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GLOBAL REFUND RECEIPT
Receipt 112656
Payment Date: 05/02/2008
Household 7418
Home Phone: (317)844 -5925
Work Phone: (317)
LAUREN SPATAFORE Monon Center
12746 EDGEMONT WAY Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Sal Refund New Bal
Module: Pass Management 74.76 74.76 0.00
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 74.76 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 74.76
Processed on 05/02/08 10:12:02 by EDR NEW REFUND AMOUNT 74.76
=TOTAL: REFUNDABLEfAMOUNT,
NEW NET HOUSEHOLD BALANCE 0.00
Re o 7 6 Made By JOURNAL -RF With Reference
C unds r subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. ash or credit car r unds.
Authonzed Sig ature Date Authorized Signature Date
2 C r
L J
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.
Lauren Spatafore Terms
12746 Edgemont Way Date Due
Carmel, IN 46032
t
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/08 112656 Refund 74.76
Total 74.76
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.
Lauren Spatafore Allowed 20
12746 Edgemont Way
Carmel, IN 46032
In Sum of
74.76
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 112656 4358400 74.76 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
13 -May 2008
gna u�re
74.76 Business S ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund