HomeMy WebLinkAbout172356 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: T359621 Page 1 of 1
F ONE CIVIC SQUARE LAWRENCE HAU CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 12669 TRAM LANE
CARMEL IN 46032 CHECK NUMBER: 172356
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1046 4358400 256008 30.00 REFUNDS AWARDS INDE
w�
ACTIVITY REFUND RECEIPT
Receipt 256008
Payment Date: 05/05/2009 MAY 0 7 2009
Household 17470
Home Phone: (765)453 -0344
Work Phone: BY:
LAWRENCE HAU West Clay Elementary
12669 TRAM LANE 3495 W. 126th St.
CARMEL IN 46032 Carmel IN 46032
Phone: (317)844 -9961
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 30.00- 30.00 0.00
G/L Code- Description Account Number Cst Cntr_ Des_cription.__ A_ccount_Numb_er __Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 30.00 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 30.00
Processed on 05/05/09 17:42:24 by JLH NEW REFUND AMOUNT 30.00
TOTAL REFUNDABLE AMOUNT 30.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of Nd.cadsh 30.00 Made By REFUND FINAN With Reference
All r subject to State Board Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu or credi and r f nd
0 r C I
Aut�dture Date Authorized Signature Date
V
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.
Hau, Lawrence Terms
12669 Tram Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/09 256008 Refund 30.00
Total 30.00
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.
Hau, Lawrence Allowed 20
12669 Tram Lane
Carmel, IN 46032
In Sum of$
30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 256008 4358400 30.00 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
7 -May 2009
Signature
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund