180225 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363637 Page 1 of 1
4� ONE CIVIC SQUARE CINDY PER CHECK AMOUNT: $110.00
CARMEL, INDIANA 46032 1006 SUMMER HILL
*�1ori `off CARMEL IN 46032 CHECK NUMBER: 180225
CHECK DATE: 12/8/2009
DEPARTP:�tNT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 357541 110.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 357541
Payment Date: 11/25/09
Household 5706
Monon Center Cindy Per Hm Ph: (317)581 -0781
Carmel IN 46032 1006 Summer Hill
Carmel IN 46032 Cell Ph:
cindyper @sbcglobal.net
Phone: (317)848 -7275
Fed Tax I D #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 110.00- 110.00 0.00
G/L Code Descri Acco Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 110.00 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 110.00
Processed on 11/25/09 07:49:23 by JAB NEW REFUND AMOUNT 110.00
TOTAL REFUNDABLE AMOUNT 110.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 110.00 Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss ed. o cash or credit card refunds.
i
A tho ed Signature Date Authorized Signature Date
Y
Page 1
l 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.
Per, Cindy Terms
1006 Summer Hill Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/25/09 357541 Refund 110.00
Total 110.00
I 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.
Per, Cindy Allowed 20
1006 Summer Hill
s^ Carmel, IN 46032
In Sum of
110.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 357541 4358400 110.00 1 hereby certify that the attached invoice(s), or
bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
3 -Dec 2009
Signature
110.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund