174320 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: T359616 Page 1 of 1
ONE CIVIC SQUARE JULIE FOGELSON
d CARMEL, INDIANA 46032 819 TIMBER MILL LANE CHECK AMOUNT: $15.00
INDIANAPOLIS IN 46260 CHECK NUMBER: 174320
CHECK DATE: 7/8/2009
D EPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 15.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 278169
Payment Date: 06/16/2009
Household 6348
Home Phone: (317)731 -7390
WGrk Phone: 2 4 2oaq
JULIE FOGELSON Monon Center
819 TIMBER MILL LN Carmel IN 46032
INDIANAPOLIS IN 46260
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oro Bal Refund New Bal
Module: Activity Registration 15.00- 15.00 0.00
G/ 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 15.00 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 HOUSEHOLD BALANCE 15.00
Processed on 06/16/09 16:05.54 by LVA NEW REFUND AMOUNT 15.00
TOTAL REFUNDABLE AMOUNT 15.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference low enrollment
Ail refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued �cash or credit card refunds.
Authorized Sig re Date Authorized Signature Date
q7. V00.
Ctrea f o kl r-'r r- 0 1/ nkW
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.
Fogelson, Julie Terms
819 Timber Mill Ln Date Due
Indianapolis, IN 46260
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6116109 278169 Refund 15.00
Total 15.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Fogelson, Julie Allowed 20
819 Timber Mill Ln
Indianapolis, IN 46260
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1047 278169 4358400 15.00 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
e
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund