172843 05/27/2009 f CITY OF CARMEL, INDIANA VENDOR: 362902 Page 1 of 1
ONE CIVIC SQUARE PAUL GOLD
934 DOE RUN DRIVE CHECK AMOUNT: $10.00
CARMEL, INDIANA 46032
CARMEL IN 46032 CHECK NUMBER: 172843
CHECK DATE: 5/27/2009
DEPA RTMENT ACCO UNT PO NUMBER INVO N UMBER AMOUN DES
1046 4358400 261502 10.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 261502
Payment Date: 05/19/2009
Household 7816
Home Phone: (317)575 -0759 MAY 19 2009
Work Phone:
PAUL GOLD Monon Center
934 DOE RUN DRIVE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 10.00- 10.00 0.00
G/L Code Description Account Number Cst C ntr Description A ccount Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 10.00 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 10.00
Processed on 05/19/09 14:24:42 by BJJ NEW REFUND AMOUNT 0
TOTAL REFUNDABLE AMOUNT 10.0
NEW NET HOUSEHOLD BALANCE 0.00
Refund of L100011de By REFUND FINAN With Reference
All refunds subject to State Board of Accounts claim procedure and may take 4 -6 weeks to proce check wil be
issued. N ash or credit card refunds.
6 il
Aut rize ignature 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
;y
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Gold, Paul Terms
934 Doe Run Drive Date Due
Carmel, IN 46C
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/09 261502 Refund 10.00
Total 10.00
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.
Gold, Paul Allowed 20
..r
934 Doe Run Drive
Carmel, IN 46032
In Sum of
10.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 261502 4358400 10.00 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
21 -May 2009
Signature
Is 10.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund