164470 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: T361889 Page 1 of 1
q ONE CIVIC SQUARE JAY TUTTLE CHECK AMOUNT: $141.10
CARMEL, INDIANA 46032 12947 LIMBERLOST DR
CARMEL IN 46033 CHECK NUMBER: 164470
CHECK DATE: 9/3012008
DEPARTMENT AC COUN T PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 141.10 REFUNDS AWARDS INDE
000189678
Monon Center Clerk: RDG
Date: 09/22/2008 Time: 11:29:30
H /H: Jay Tuttle
F /M: Jay Tuttle
Description Ext Price
Pass 0 Type 108.90
Yly GF Res Unli
From 04/16/2008 04/16/2009
Rcpt# 189678 Prev Bal: 0.00
New Charges 141.10
New Tax: 0.00
Total Due: 141.10
Tot Refund: 141.10
New Bal: 0.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 141.10
Ref: lay Tuttle
All refunds are subject to state Board
of Accounts claim procedure and may take
4 -6 weeks to process. A check will be 7SEP RT VF issued. No cash or credit card refunds.
2 9 2008
e BY:
Authorized signature Date
Authorized signature Date
0!
Rcpt# 189678
D@
Dm PR'
Cc >svjl
ACCOUNTS PAYABLE VOUCHER
a 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.
Tuttle, Jay Terms
12947 Limberlost Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9122/08 189678 Refund 141.10
Total 141.10
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.
Tuttle, Jay Allowed 20
12947 Limberlost Dr
Carmel, IN 46
In Sum of
141.10
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 189678 4358400 141.10 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
141.10 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
9
Ll