HomeMy WebLinkAbout170816 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362758 Page 1 of 1
ONE CIVIC SQUARE KARTHIK DHARMARAJAN
CARMEL, INDIANA 46032 143D FAIRFAX MANOR DR H2D CHECK AMOUNT: $60.50
CARMEN IN 46032 CHECK NUMBER: 170816
CHECK DATE: 4/1612009
D ACCOUNT PO NUMBER INVO NUMBER AM DESCRIPTION
1047 T, 4358400 60.50 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
r
Rc eipt 245567 M a W N
Pa _tent Date: 04/06/2009 ate, 1�
Hot •ehold 21760
Home Phone: (704)307 -8761
Work Phone: APR 0 7 2009
13y:
KARTHIK DHARMARAJAN Monon Center
1430 FAIRFAX MANOR DR #2D Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 60.50- 60.50 0.00
nt",k f- if", p (I 5h e ,v -skew)
G/L Code Description Account Number Cst Cntr Descri Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.50 DR
Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers.
PREVIOUS NET CREDIT HOUSEHOLD BALANCE 60.50
Processed on 04/06/09 13:59:31 by SLR NEW REFUND AMOUNT 60.50
TOTAL?REFUNUPBL'E''?MOUNT ham$., F.«fi050
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 60.50 Made By REFUND FINAN With Reference check refund
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 cash or credit card refunds.
orized Signature Date uthorized Signature Date
V6o ,330 '_1353 6
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
iAn invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
1 hom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Dharmarajan, Karthik Terms
1430 Fairfax Manor Dr 2D Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/6109 245567 Refund 60.50
Total 60.50
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.
Dharmarajan, Karthik Allowed 20
1430 Fairfax Manor Dr 2D
Carmel, IN 46032
ti•
In Sum of
60.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 245567 4358400 60.50 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
10 -Apr 2009
Signature
60.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund