HomeMy WebLinkAbout178602 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 363446 Page 1 of 1
ONE CIVIC SQUARE SHAHID ABBAS CHECK AMOUNT: $12.00
CARMEL, INDIANA 46032 10642 BROADWAY
INDIANAPOLIS IN 46280 CHECK NUMBER: 178602
CHECK DATE: 10/28/2009
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 343569 12.00 REFUNDS AWARDS INDE
000343569
o @o0ry &000!0
Monon Center Clerk:
RDG
Date: 10/12/2009
Time: 06:00:42
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shahid Abbas
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Description Ext Price
Rcpt# 343569 Prev Bal: 12.00
New Charges 0.00
New Tax: 0.00
Total Due: 12.00
Tot Refund: 12.00
New Bal: 0.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 12.00 y�
All refunds are subject to state Board -7,�
of Accounts claim proc ,re and nd�y take
4 -6 weeks to proces A hecJ71J be OCT 16 2009
issued. or cre i� ca• refunds.
Pay
1 uthorized gnature Dat
Authorized signature Date
Fed Tax ID #35- 6000972
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Rcpt# 343569
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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.
Abbas, Shahid Terms
10642 Broadway Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/12/09 343569 Refund 12.00
Total 12.00
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
AL
i
Voucher No. Warrant No.
S
Abbas, Shahid Allowed 20
10642 Broadway
Indianapolis, IN 46280
In Sum of
12.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1047 343569 4358400 12.00 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
22 -Oct 2009
Zc L'? �-Ilnuyyy A
Signature
12.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund