HomeMy WebLinkAbout177240 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363319 Page 1 of 1
ONE CIVIC SQUARE LORI HOBERTY CHECK AMOUNT: $206.00
CARMEL, INDIANA 46032 3820 BRIGADE CIRCLE
CARMEL IN 46032 CHECK NUMBER: 177240
CHECK DATE: 9/15/2009
DEPARTMENT ACCO PO N UMBER I NVOICE NU MBER AMO DESCRI
1046 4358400 332560 206.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt# 332560 SEP n 1 2009
Payment Date: 09/01/2009
Household 11263
Home Phone: (317)733 -9550
Work Phone: (317)273 -7725
LORI HOBERTY Monon Center
3820 BRIGADE CIRCLE Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 206.00- 206.00 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 206.00 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 206.00
Processed on 09101/09 08:16:01 by JAS NEW REFUND AMOUNT 206.00
TOTAL REFUNDABLE AMOUNT 206.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 206.00 Made By REFUND FINAN With Reference check refund
All refun s are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue: o cash or credit card refunds.
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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.
Hoberty, Lori Terms
3820 Brigade Circle Date Due
a
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/09 332560 Refund 206.00
Total 206.00
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.
Hoberty, Lori Allowed 20
3820 Brigade Circle
Carmel, IN 46032
In Sum of
206.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 332560 4358400 206.00 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
10 -Sep 2009
Signature
206.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund