HomeMy WebLinkAbout167583 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: T362337 Page 1 of 1
ONE CIVIC SQUARE THOMAS BRANDENBURG CHECK AMOUNT: $49.00
CARMEL, INDIANA 46032 11514 BLOSSOM WAY
CARMELIN 46032 CHECK NUMBER: 167583
CHECK DATE: 1/7/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4358400 49.00 REFUNDS AWARDS INDE
r:
ACTIVITY REFUND RECEIPT
Receipt 206831 DEC
D$
Payment Date: 12/05/2008
Household 21613
Home Phone: (317)587 -1950
Work Phone:
THOMAS BRANDENBURG Morton Center
11514 BLOSSOM WAY Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 49.00- 49.00 0.00
GIL Code Description Account N Cs CrAr Descri Account. Nu A mount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 49.00 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 49.00
Processed on 12/05108 15:04:39 by MML NEW REFUND AMOUNT 49.00
TOTAL REFUNDABLE AMOUNT 49.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 49.00 Made By REFUND FINAN With Reference harged twice
All refund es ct to to Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue o s credi card ref ds.
/"5 W( a
rized ignature pa Authorized Signature Date
Z/5/0,t—
U l
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,
Brandenburg, Thomas Terms
11514 Blossom Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12!5108 206831 Refund 49.00
Total 49.00
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.
Brandenburg, Thomas Allowed 20
11514 Blossom Way
Carmel, IN 46032
In Sum of$
49.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1047 206831 4358400 49.00 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
19 -Dec 2008
Signature
49.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund