HomeMy WebLinkAbout172408 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362850 Page 1 of 1
ONE CIVIC SQUARE JESSICA KOLB
CARMEL, INDIANA 46032 PO BOX 3154 CHECK AMOUNT: $400.00
CARMEL IN 46082
�o CHECK NUMBER: 172408
CHECK DATE: 5113/2009
DEPARTMENT ACCOUN PO NU MBER INVOI NUM BER AMOUNT DESCRIPTION
1046 4358400 253778 400.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt# 253778 ff 1
Payment Date: 04128/2009
Household 14578
Home Phone: (317)810 -9274
Work Phone:
JESSICA KOLB Monon Center
PO BOX 3154 Carmel IN 46032
CARMEL IN 46082
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 400.00- 400.00 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 400.00 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 400.00
Processed on 04/28/09 15:49:50 by JAS NEW REFUND AMOUNT 400.00
TOTAL REFUNDABLE AMOUNT 400.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 400.00 Made By REFUND FINAN With Reference chk refund
All r funds are subject to State Bo d of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issu d. N cash or credit c d ref ds. q
Auth ignature Date Authorized Signature Date
Y ��Itvt (I
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.
Kolb, Jessica Terms
P.O. Box 3154 Date Due
Carmel, IN 46082
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/09 253778 Refund 400.00
Total 400.00
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.
Kolb, Jessica Allowed 20
P.O. Box 3154
Carmel, IN 46082
In Sum of
400.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 253778 4358400 400.00 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
JZi*ML2222 Pi'r�
Signature
400.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund