HomeMy WebLinkAbout167869 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: 360018 Page 1 of 1
ONE CIVIC SQUARE CINDY JOHNSON CHECK AMOUNT: $57.50
CARMEL, INDIANA 46032 1123 KEENELAND COURT
`o INDIANAPOLIS IN 46260 CHECK NUMBER: 167869
CHECK DATE: 1/20/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 57.50 PARKS DEPARTMENT REFU
PASS REFUND RECEIPT
Receipt 216089 D
Payment Date: 01/08/2009
Household 8337
Home Phone: (317)848 -5332
Work Phone: (317)226 -4234
CINDY JOHNSON Monon Center
1123 KEENELAND COURT Carmel IN 46032 r
INDIANAPOLIS IN 46280
Phone: (317)848 -7275 fI JAN 1 2 2009
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Pass Management 57.50 57.50 0.00
G/L Code Description Account Number Cst Cntr Descri Ac count Number Am ount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 57.50 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 57.50
Processed on 01/08/09 11:58:54 by JAS NEW REFUND AMOUNT 57.50
TOTAL REFUNDABLE AMOUNT 57.50
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 57.50 Made By REFUND FINAN With Reference chk. refund
All refunds e s bject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is d. N 7 credit car refun s.
uthorize nat a Date Authorized Signature Date
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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.
Johnson, Cindy Terms
1123 Keeneland Court Date Due
Indianapolis, In 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
118109 216089 Refund 57.50
Total 57.50
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
�T
Voucher No. Warrant No.
Johnson, Cindy Allowed 20
,r
1123 Keeneland Court
Indianapolis, In 46280
In Sum of
57.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#,rFITLE AMOUNT Board Members
Dept
1046 216089 4358400 57.50 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
15 -Jan 2009
Signature
57.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund