HomeMy WebLinkAbout174290 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 360696 Page 1 of 1
ONE CIVIC SQUARE JANE DICKERSON
,o CARMEL, INDIANA 46032 856 PRESTON DR CHECK AMOUNT: $140.00
INOPLS IN 46280 CHECK NUMBER: 174290
j CHECK DATE: 7812009
3EPARTMENT ACCOUNT PO NUMBER INVOIC NU MBE R AMOU D ESCRI PTION
1047 T 4358400 140.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 278571
Payment Date: 06/17/2009
Household 5667
Home Phone. (317)846 -7919 �a
J U L
Work Phone: (317)
JANE DICKERSON Monon Center
856 PRESTON DRIVE Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 140.00- 140.00 0.00
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 140.00 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 140.00
Processed on 06/17/09 13:26:19 by SLR NEW REFUND AMOUNT O 140.00
TOTAL REF.UNDABLE�AMOUNT.�, 6 °'t
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 140.00 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.
uthorized Signature Date authorized Signature D to
LJ7- NO -Zoo
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.
Dickerson, Jane Terms
856 Preston Drive Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17109 278571 Refund 140.00
Total 140.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Dickerson, Jane Allowed 20
856 Preston Drive
Indianapolis, IN 46280
In Sum of
140.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 278571 4358400 140.00 I 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
2 -Jul 2009
Signature
140.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund