HomeMy WebLinkAbout174315 07/08/2009 CITY OF CARMEI INDIANA VENDOR: 362927 Page 4 of 1
0 ONE CIVIC SQUARE THOMAS EEILEN
CARMEL, INDIANA 46032 3325 GROVETON COURT CHECK AMOUNT: $20.00
INDIANAPOLIS IN 46227
CHECK NUMBER: 174315
CHECK DATE: 7!812009
DEPARTMENT ACCOUN P NU MBER INVOIC NUMBER AMOUNT D ESCRIPTION A
1047 4358400 20.00 REFUNDS AWARDS TNDE
GLOBAL REFUND RECEIPT
Receipt 291465
Payment Date: 06/29/2009
Household 20628 JUL 0 2 10 9
Home Phone: (317)884 -1611
Work Phone: (317)428 -1214
THOMAS FEILEN Carmel Clay Parks Recreation
3325 GROVETON CT. 1235 Central Park Drive East
INDIANAPOLIS IN 46227 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 20.00 20.00 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 20.00 DR
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
I TA
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 20.00
Processed on 06/29/09 17:33:49 by ABK NEW REFUND AMOUNT 20.00
TOTAL REFUNDABLE AMOUNT 20:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference Ins reimb for 5/09
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.
Authoriz Signature Date Authorized Signature Date
4 1 �3 4/
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.
Feilen, Thomas Terms
3325 Groveton Ct. Date Due
Indianapolis, IN 46227
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/29/09 291465 Refund
20.00
Total 20.00
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.
Feilen, Thomas Allowed 20
3325 Groveton Ct.
Indianapolis, IN 46227
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1465 4358400 20.00 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
2 -Jul 2009
�&A5
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund