178102 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363401 Page 1 of 1
ONE CIVIC SQUARE ROBERT CRAMER
l` CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 6733 HUNTERS GREENWAY
INDIANAPOLIS IN 46278 CHECK NUMBER: 178102
CHECK DATE: 1 011 412 009
a
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 34.0359 100.00 REFUNDS AWARDS INDE
i
000340359
Monon center clerk: MAK
Date: 09/26/2009 Time: 14:46:21
H /H: Robert Cramer
F /M: Robert Cramer P 1
Description Ext Price
Rcpt# 340359 Prev Bal: 100.00
New Refund: 100.00
New Bal:
0.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 100.00
All refunds are subject to state Board
of Accounts claim procedure and may take
4 -6 weeks to process. A check will be issued. No Vhr
rd refunds.
9 2009
ut orized igna u e Date
e>r--- qlaol
Authorized signature Date
Fed Tax ID #35- 6000972
C s i U 7 0
Rcpt# 340359
q34
J@
Om
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Cramer, Robert Terms
6733 Hunters Greenway Date Due
Indianapolis, IN QV27g
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9126/09 340359 Refund 100.00
Total 100.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Cramer, Robert Allowed 20
8733 Hunters Greenway
Indianapolis, IN
fg In Sum of$
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1047 340359 4358400 100.00 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
7 -Oct 2009
Signature
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund