HomeMy WebLinkAbout173319 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362927 Page 1 of 1
ONE CIVIC SQUARE THOMAS FEILEN
CARMEL, INDIANA 46032 3325 GROVETON COURT CHECK AMOUNT: $20.00
INDIANAPOLIS IN 46227 CHECK NUMBER: 173319
CHECK DATE: 6/1012009
DEPARTMENT AC COUNT PO N UMBER IN VOICE NUMBER AM OUNT DESCRIP
1047 4358400 20.00 REFUNDS AWARDS INDE
r
GLOBAL REFUND RECEIPT
Receipt 267189
Payment Date: 06/01/2009
Household 20628
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
GIL 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.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 20.00
Processed on 06/01109 14:16:49 by ABK NEW REFUND AMOUNT 20.0
;TOTAL�REFUNDABLE AMOUNT 20.00
f
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 ade By REFUND FINAN With Reference Ins reimb for 4109
All refunds are su `'e to State Board of Accounts claim procedure and may take 4 -6 weeks to process. check ill be
issued. No cash or redit card refunds.
Authorized ignature Date Authorized Signature Date
a JUN 0 1 2009
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
6/1/09 267189 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 #/TITL AMOUNT Board Members
Dept
1047 267189 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
4 -Jun 2009
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund