HomeMy WebLinkAbout169227 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362559 Page 1 of 1
0 ONE CIVIC SQUARE DAVID COLOSI
t.
CARMEL, INDI -NA 46032 14041 SETTLERS RIDGE TRAIL CHECK AMOUNT: $6.00
CARMEL IN 46033 CHECK NUMBER: 169227
is
CHECK DATE: 2117/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 223495 6.00 REFUNDS AWARDS INDE
i
f ACTIVITY REFUND RECEIPT
Receipt 223495
Payment Date: 01/30/2009
Household 13889�V�
Home Phone: (317)575 -1830
Work Phone: FEB 0' 2009
BY:
DAVID COLOSI Monon Center
14041 SETTLERS RIDGE TRAIL Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 6.00- 6.00 0.00
G/L Code_ Description_ Account Number Cst Cntr__ Description__ Accoun_t Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 6.00 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 6.00
Processed on 01/30/09 10:51:40 by JAS NEW REFUND AMOUNT 6.00
TOTAL REFUNDABLE AMOUNT 6.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 6.00 Made By REFUND FINAN With Reference chk refund
All r unds re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu d. No das=uny
I
O O
Autho zed nature- Date Authorized Signature Date
14
Page 1
ACCOUNTS PAYABLE VOUCHER
-r. CITY OF CARMEL
it
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.
Colosi, David Terms
14041 Settlers Ridge Trail Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1130109 223495 Refund 6.00
Total 6.00
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.
Colosi, David Allowed 20
1 -14041 Settlers Ridge Trail
Carmel, IN 46033
In Sum of$
6.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1046 223495 4358400 6.00 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
13 -Feb 2009
Signature
6.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund