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174977 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363069 Page 1 of 1 ONE CIVIC SQUARE JODY KONOW CHECK AMOUNT: $32.00 CARMEL, INDIANA 46032 11704 SWEEPING RIDGE DRIVE ZIONSVILLE IN 46077 CHECK NUMBER: 174977 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION 1046 4358400 32.00 REFUNDS AWARDS INDE I GLOBAL REFUND RECEIPT Receipt 296399 Payment Date: 07/09/2009 Household 1670 Home Phone: (317)873 -2629 Work Phone: (317) JODY KONOW Monon Center 11704 SWEEPING RIDGE DRIVE Carmel IN 46032 ZIONSVILLE IN 46077 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Oria Bal Refund New Bal Module: Activity Registration 32.00 32.00 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 32.00 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 32.00 Processed on 07/09/09 12:11:31 by BJJ NEW REFUND AMOUNT 32.00 TOTAL REFUNDABLE AMOUNT' :(...,32.00" NEW NET HOUSEHOLD BALANCE 0.00 Refund of 32.00 ade By REFUND FIN With Reference All refunds are subject to State Boar f�Cccounts claim procedure and may take 4 -6 weeks to process A check ill be issued. No ash or credit car O�S. q A�tho ed Signature Date Authorized Signature Date 00 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. Konow,Jody Terms A 11704 Sweeping Ridge Drive Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/9/09 296399 Refund 32.00 Total 32.00 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 i Voucher No. Warrant No. Konow, Jody Allowed 20 11704 Sweeping Ridge Drive Zionsville, IN 46077 In Sum of 32.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 296399 4358400 32.00 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 16 -Jul 2009 i Signature 32.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund