HomeMy WebLinkAbout172316 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362759 Page 1 of 1
ONE CIVIC SQUARE THOMAS FEILEN
CARMEL, INDIANA 46032
3325GROVETON COURT CHECK AMOUNT: $20.00
INDIANAPOLIS IN 46227 CHECK NUMBER: 172316
CHECK DATE: 5/13/2009
DEPARTM ACCOUN PO NUMBER INVOICE NUMBER AM OUNT DESCRIP
1047 4358400 253660 20.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 253660 1 :9
Payment Date: 04/28/2009
Household 20628 A PR 8
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
Orig Bal Refund New Bal
Module: Pass Management 20.00- 20.00 0.00
G/L Code Description Account Number Csl 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 04/28/09 09:01:42 by ABK NEW REFUND AMOUNT 20.00
TOTAL REF,,UNDABLE- AMOUNT. 20.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference Ins reimb for 3109
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.
Authorized Siqfaa re Date Authorized Signature Date
�'7- moo afo- 13,54
Page 4 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
4128109 253660 Refund 20.00
Total 20.00
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
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 253660 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
7 -May 2009
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund