169408 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.
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Authorized i ature Date Authorized Signature Date
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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