179796 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363409 Page 1 of 1
ONE CIVIC SQUARE CHOONGSEOK PARK CHECK AMOUNT: $32.50
ro CARMEL, INDIANA 46032 938 MOHAWK HILLS DR #A
CARMEL IN 46032 CHECK NUMBER: 179796
CHECK DATE: 11/24/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
x 1047 4358400 352239 32.50 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 352239
Payment Date: 11/10/09
Household 30310
M6non Center Choongseok Park Hm Ph: (317)564 -4781
Carmel IN 46032 938 Mohawk Hills Dr. #A
Carmel IN 46032 Cell Ph:
21cspark@gmaii.com
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 32.50- 32.50 0.00
G/L 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 32.50 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 32.50
Processed on 11/10/09 12:04:25 by TCP NEW REFUND AMOUNT 32.50
TOTAL REFUNDABLE AMOUNT s' 32.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.50 Made By REFUND FINAN With Reference low enrollment
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 Signature Date Authorized Signature Date
Ll 2�-,
77 T
NOV 1 7 1009
Y.
Page 1
1 ACCOUNTS PAYABLE VOUCHER
J 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.
r
Payee
Purchase Order No.
Park, Choongseok Terms
938 Mohawk Hills Dr A Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/10/09 352239 Refund 32.50
Total 32.50
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.
Park, Choongseok Allowed 20
938 Mohawk Hills Dr #A
Carmel, IN 46032
In Sum of
32.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 352239 4358400 32.50 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 -Nov 2009
l
Signature
32.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund