170235 03/21/2009 CITY OF CARMEL, INDIANA VENDOR: T362688 Page 1 of 1
ONE CIVIC SQUARE JEAN HALL CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 12473 CHARING CROSS
CARMEL IN 46033 CHECK NUMBER: 170235
CHECK DATE: 3/31/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 236600 80.00 REFUNDS AWARDS INDE
r.
GLOBAL REFUND RECEIPT
Receipt 236600
Payment Date: 03/09/2009
Household 12500 T`,
Home Phone: (317)844 -0218
Work Phone: a,
(317)338 -3287 MAR 2009
i
JEAN HALL Monon Center
12473 CHARING CROSS Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 80.00- 80.00 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 80.00 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 80.00
Processed on 03/09/09 16:11:16 by SLR NEW REFUND AMOUNT
07AL REFUNDABL E AMOUNT 80.
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 80.00 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 proces A check ill be
issued. No cash or credit card refunds.
uthorized Signature Date Authorized Signature Date
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.
Hall, Jean Terms
12473 Charing Cross Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/09 236600 Refund 80.00
Total 80.00
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.
Hall, Jean Allowed 20
12473 Charing Cross
Carmel, IN 46033
In Sum of
.r
80.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 236600 4358400 80.00 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
25 -Mar 2009
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund