HomeMy WebLinkAbout170232 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: T362686 Page 1 of 1
ONE CIVIC SQUARE SARAH COLLARD
CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 1323 BRIDGEPORT DRIVE
L <..ori ec WESTFIELD IN 46074 CHECK NUMBER: 170232
CHECK DATE: 3/31/2009
DEPAR TMENT ACCOUNT P O NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1047 4358400 232182 125.00 REFUNDS AWARDS INDE
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GLOBAL REFUND RECEIPT
Receipt 232182
Payment Date: 02/23/2009 r
Household 14588
Home Phone: (765)432 -9637
Wtk Phone: MA(� .5 2009
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SARAH COLLARD Monon Center
1323 BRIDGEPORT DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Ong Bal Refund New Bal
Module: Activity Registration 125.00 125.00 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 125.00 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 CREDIT HOUSEHOLD BALANCE 125.00
Processed on 02/23109 14:45:08 by CRB NEW REFUND AMOUNT 125.00
":TOTAL =REFUNDABLE =AMOUNT.. &:125:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 125.00 Made By REFUND FINAN With Reference
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 refund's.
31t3 v
<f: G horized Signature Date Authorized Signature Date
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.
Collard, Sarah Terms
1323 Bridgeport Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/09 232182 Refund 125.00
Total 125.00
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.
Collard, Sarah Allowed 20
1323 Bridgeport Drive
Westfield, IN 46074
In Sum of
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125.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 232182 4358400 125.00 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
25 -Mar 2009
Signature
125.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund