174296 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 361454 Page I of 1
ONE CIVIC SQUARE CHRISTOPHER DUFFY CHECK AMOUNT: $117.00
CARMEL, INDIANA 46032 13460 SP {CEBUSH COURT
CARMEL N 46033 CHECK NUMBER: 174296
CHECK DATE: 7!812009
D A CCOUNT �PO NUMBER INVO NUMBER AMOUNT DESCRIPTION T
1047 4358400 117.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
0
Receipt# 271386 JUN 2 4 2009
Payment Date: 06/08/2009
Household 17120
Home Phone: (317)564 -4125
Work Phone: (317)594 -2404
CHRISTOPHER DUFFY Monon Center
13460 SPICEBUSH COURT Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 117.00- 117.00 0.00
G1L 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 117.00 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 117.00
Processed on 06/08109 14:50.37 by LVA NEW REFUND AMOUNT 117,00
TOTAL REFUNDABLE AMOUNT i17.OQ
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 117.00 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 will be
issued, cash or credit card Ak refunds.
L U
t
A ized Signature Date Authorized Signature Dale
Low No'ujl 1/1
qa 0. -fo q S qO (D
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.
Duffy, Christopher Terms
13460 Spicebush Court Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
618/09 271386 Refund 117.00
Total 117.00
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.
Duffy, Christopher Allowed 20
13460 Spicebush Court
Carmel, IN 46033
In Sum of$
117.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rTITLE AMOUNT Board Members
Dept
1047 271386 4358400 117.00 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
2 -Jul 2009
A &hlmow'
Signature
117.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund