170849 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362760 Page 1 of 1
ONE CIVIC SQUARE GRETHEN FOX CHECK AMOUNT: $112.80
CARMEL, INDIANA 46032 1145 AQUEDUCT WAY
«o INDIANAPOLIS IN 46280 CHECK NUMBER: 170849
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 112.80 PARKS. DEPARTMENT REFU
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ACTIVITY REFUND RECEIPT
Receipt 245804
Payment Date: 04/07/2009
Household 20905
Home Phone: (317)575 -8940
Work Phone: (317)281 -5274 APR 0 7 1009
BY:
GRETCHEN FOX Monon Center
1145 AQUEDUCT WAY Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
G /LCode Description___ Account Number Cst_Cntr____D_escription_______ Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control on
(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 HOUSEHOLD BALANCE 112.80
Processed on 04/07/09 11:10:06 by JAS NEW REFUND AMOUNT 112.80
TOTAL REFUNDABLE AMOUNT 112.80
NEW NET CREDIT HOUSEHOLD BALANCE 32.80
Refund of 80.00 Made By REFUND FINAN With Reference check refund
All ref are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
C u ikc N cash or credit card refunds. Q 0 n 6 a)
h rized Sign Date Authorized Signature Date
V� cwt- vv;
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.
Fox, Gretchen Terms
1145 Aqueduct Way Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/09 245804 Refund 112.80
Total I 112.80
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.
Fox, Gretchen Allowed 20
1145 Aqueduct Way
Indianapolis, IN 46280
In Sum of
112.80
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 245804 4358400 112.80 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
10 -Apr 2009
Signature
112.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund