Loading...
HomeMy WebLinkAbout171852 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362802 Page 1 of 1 ONE CIVIC SQUARE PAUL GOHMANN s CHECK AMOUNT: $162.00 CARMEL, INDIANA 46032 10792 PUTNAM PLACE CARMEL IN 46032 CHECK NUMBER: 171852 CHECK DATE: 4/29/2009 DEPARTMENT A CCOUN T PO NUMBER INVOIC NUMBER AMO UNT DESCRIPTION 1046 4358400 250901 162.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 250901 (V Payment Date: 04/16/2009 Q Household 3233 A P R 16 2009 Home Phone: (317)873 -6782 Work Phone: BY PAUL GOHMANN Monon Center 10792 PUTNAM PLACE Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Orio Bal Refund New Bal Module: Activity Registration 162.00- 162.00 0.00 GL Code Description Account Number Cst Cntr De_scription Account N umber Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 162.00 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 162.00 Processed on 04/16/09 12:21:33 by JAS NEW REFUND AMOUNT 162.00 TOTAL REFUNDABLE AMOUNT 162.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 162.00 Made By REFUND FINAN With Reference All ref s re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issue No cash or credit .ard refun Au "n' Signature Date Authorized Signature Date e 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. Gohmann, Paul Terms 10792 Putnam Place Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/09 250901 Refund 162.00 Total 162.00 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 1 20 Clerk- Treasurer Voucher No. Warrant No. Gohmann, Paul Allowed 20 10792 Putnam Place Carmel, IN 46032 In Sum of 162.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046_ 250901. 4358400 162.00 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 22 -Apr 2009 Signature 162.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund