173726 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362962 Page 1 of 1
0 ONE CIVIC SQUARE MARYANNE BASS CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 952 ROUNDTABLE COURT
INDIANAPOLIS IN 46260 CHECK NUMBER: 173726
CHECK DATE: 6/24/2009
DEPARTMENT A CCOUNT PO NUMBER INV OICE NU MBER AMOUNT DESCRIP
1046 i 4358400 75.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 279256
Payment Date: 06/18/2009
a
Household 24187 E a
Home Phone: (317)251 -1150
Work Phone: (317)341 -1221 J J 9 009
.By
MARYANNE BASS Monon Center
952 ROUNDTABLE CT. Carmel IN 46032
INDIANAPOLIS IN 46260
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module. Activity Registration 125.00- 75.00 50.00
GIL 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 75.00 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 125.00
Processed on 06/18/09 13:51.21 by JAS NEW REFUND AMOUNT 75.00
TOTAL REFUNDABLE AMOUNT 75.00
NEW NET CREDIT HOUSEHOLD BALANCE 50.00
Refund of 75.00 Made By REFUND FINAN With Reference 50% chk 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. "'o cash or credit card refunds
1 0I
Aut izeNi,na Date Authorized Signature Date
WU
i
Page 1
Y
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.
Bass, Maryanne Terms
952 Roundtable Ct Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18109 279256 Refund 75.00
Total 75.00
1 hereby certify that the attached invcice(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.
Bass, Maryanne Allowed 20
952 Roundtable Ct
Indianapolis, IN 46260
In Sum of
r
75.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1048 279256 4358400 75.00 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
18 -Jun 2009
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund