HomeMy WebLinkAbout167672 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 362346 Page 1 of 1
ONE CIVIC SQUARE JAY PARK CHECK AMOUNT: $42.00
CARMEL, INDIANA 46032 15525 OAK ROAD
CARMEL IN 46033 CHECK NUMBER: 167672
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 208220 42.00 REFUNDS AWARDS INDE
r•
ACTIVITY REFUND RECEIPT
Receipt 208220 1 DEC 1 9 2008
Payment Date: 12/12/2008
Household 21388
Home Phone: (317)844 -2243
Work Phone: (317)849 -1030
JAY PARK Monon Center
15525 OAK RD Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 42.00 42.00 0.00
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 42.00 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 42.00
Processed on 12/12/08 10:28:23 by MML NEW REFUND AMOUNT 42.00
TOTAL REFUNDABLE AMOUNT 42:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 42.00 Made By REFUND FINAN With Reference Class Cancelled
All ref are bject o State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu c or c it -ca refunds.
Authorized Signature D to Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kindnobfeeo w
per service rendered, by
unit
whom, rates per day, number of hours, rate per hour, n
Payee Purchase Order No.
Terms
Park, Jay Date Due
15525 Oak Rd
Carmel, IN 46033
Invoice Description Amount
Invoice Numbe (or note attached invoice(s) or bill(s))
Date Num 42.00
12/12/08 208220 Refund
Total 42.00
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
Voucher No. Warrant No.
Park, Jay Allowed 20
15525 Oak Rd
Carmel, IN 46033
Cl In Sum of
42.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 208220 4358400 42.00 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
19 -Dec 2008
Signature
42.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund