169454 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362606 Page 1 of 1
t` ONE CIVIC SQUARE LISA HAMMONS
CARMEL, INDIANA 46032 13214 GRIFFIN RUN CHECK AMOUNT: $20.00
CARMEL IN 46033 CHECK NUMBER: 169454
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 226873 20.00 REFUNDS AWARDS INDE
z ACTIVITY REFUND RECEIPT
Receipt 226873
Payment Date: 02/11/2009
Household 24537
Home Phone: (317)564 -4178
Work Phone:
LISA HAMMONS Monon Center
13214 GRIFFIN RUN Carmel IN 46032
CARMEL IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 20.00- 20.00 0.00
G/L Code Descri Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 20.00 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 20.00
Processed on 02/11/09 13:03:48 by LVA NEW REFUND AMOUNT 20.00
TOTAL REFUNDABLE AMOUNT 20.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 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. No cash or credit card refunds. ,k
Authorized Si a re Date Authorized Signature Date
00 LIB. y�
J rAq ro
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 16 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.
Hammons, Lisa Terms
13214 Griffin Run Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/09 226873 Refund 20.00
Total 20.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Hammons, Lisa Allowed 20
13214 Griffin Run
Carmel, IN 46033
In Sum of
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 226873 4358400 20.00 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
26 -Feb 2009
P'Aum'TnW
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund