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HomeMy WebLinkAbout169408 03/04/2009 "4R CITY OF CARMEL, INDIANA VENDOR: 362603 Page 1 of 1 4 ONE CIVIC SQUARE STEVEN DEEN CHECK AMOUNT: $20.00 a CARMEL, INDIANA 46032 14405 CHERRY TREE RD CARMEL IN 46033 CHECK NUMBER: 169408 CHECK DATE: 314!2009 r DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4358400 226539 20.00 REFUNDS AWARDS INDE 5., ACTIVITY REFUND RECEIPT Receipt 226539 Payment Date: 02/10/2009 Household 6877 Home Phone: (317)574 -9679 Work Phone: (765)456 -3851 STEVEN DEEN Monon Center 14405 CHERRY TREE ROAD 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 20.00- 2000 0.00 GIL Code Description Account Number Cst Cntr Description Account Numb Am ount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 20.00 Processed on 02/10/09 10:11:08 by LVA NEW REFUND AMOUNT 20.00 TOTAL REFUNDABLE AMOUNT 20.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 20.00 Made By REFUND FINAN With Reference Low Enrollment All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check ill be issu d. No cash or credit card refunds. r tJ MI! !TU Authorized i ature Date Authorized Signature Date �7 qm quo. y 3� 9 yo a ke sol.�Z P [_oui en ro I f n'&A+ 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. Deen, Steven Terms 14405 Cherry Tree Rd Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2110109 226539 Refund 20.00 Total 20.00 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. Deen, Steven Allowed 20 14405 Cherry Tree Rd t Carmel, IN 46033 In Sum of 20.00 ON ACCOUNT OF APPROPRIATION FOR 1104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 226539 4358400 20.00 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 26 -Feb 2009 Signature 20.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund