HomeMy WebLinkAbout170840 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362759 Page 1 of 1
ONE CIVIC SQUARE THOMAS FEILEN
CARMEL, INDIANA 46032 3325 GROVETON COURT CHECK AMOUNT: $80.00
INDIANAPOLIS IN 45227 CHECK NUMBER: 170840
CHECK DATE: 411612009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 80.00 PARKS DEPARTMENT R2FU
4
GLOBAL REFUND RECEIPT
Receipt 247639
Payment Date: 0411 3120 0 9
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
Orio Bal Refund New Bal
Module: Pass Management 80.00- 80.00 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 80.00 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 80.00
Processed on 04/13109 09:36:19 by ABK NEW REFUND AMOUNT 80.00
TOTAL REFUNDABLE%AMOUNT.; 80100
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 80.00 Made By REFUND FINAN With Reference Ins reimb for 2109
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.
3 e)y
Authorized Signa ee Date Authorized Signature Date
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
4113109 247639 Refund 80.00
Total 80.00
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
80.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1047 247639 4358400 80.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
13 -Apr 2009
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund