169032 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: T362565 Page 1 of 1
ONE CIVIC SQUARE VIDYA KARTHIK
O 5622 BLACKFOOT TRAIL CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032
CARMEL IN 46033 CHECK NUMBER: 169032
CHECK DATE: 2/1712009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 225102 80.00 REFUNDS AWARDS INDE
e
i
t ACTIVITY REFUND RECEIPT
Receipt 225102 R.EC
Payment Date: 02/04/2009
Household 17070 FEB 1 0 2009 f
Home Phone: (317)706 -0892
Work Phone: BY:
VIDYA KARTHIK Prairie Trace Elemen
5622 BLACKFOOT TRAIL 14200 North River Road
CARMEL IN 46033 Carmel IN 46033
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 80.00- 80.00 0.00
G/L Code Description Account Number C st Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 80.00 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 80.00
Processed on 02/04/09 13:46:10 by SLS NEW REFUND AMOUNT 80.00
TOTAL REFUNDABLE AMOUNT 80.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 80.00 Made By REFUND FINAN With Reference
All refu ds 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 cred'+ funds.
Aut ized Signature Date Authorized Signature Date
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.
karthik, Vidya Terms
5622 Blackfoot Trail Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/4/09 225102 Refund 80.00
Total 80.00
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.
karthik, Vidya Allowed 20
5622 Blackfoot Trail
Carmel, IN 46033
In Sum of
80.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1046 225102 4358400 80.00 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
13 -Feb 2009
Signature
80.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund