177332 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363321 Page 1 of 1
ONE CIVIC SQUARE RAMANARAYANAN NARAYANASWAMY CHECK AMOUNT: $99.02
CARMEL, INDIANA 46032 5321 RIPPLINGBROOK WAY
CARMEL IN 46032 CHECK NUMBER: 177332
CHECK DATE: 9115/2009
DEPAR A CCOUN T P NUM BER I NVOICE N UMBER A MOUNT DESCRIPTI
1047 4358400 332217 99.02 REFUNDS AWARDS INDE
PASS REFUND RECEIPT
Receipt 332217
Payment Date: 08/31/2009
Household 13069
Home Phone: (317)569 -0514
Work Phone: (317)578 -5639
RAMANARAYANAN NARAYANASWAMY Monon Center
5321 RIPPLINGBROOK WAY Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Pass Management 99.02- 99.02 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 99.02 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 99.02
Processed on 08/31/09 08:01:30 by RDG NEW REFUND AMOUNT 99.02
TOTAL REFUNDABLE AMOUNTW,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 99.02 Made By REFUND FINAN With Reference
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. o cash or credit card refunds.
X31 0
thorized Signature D to Authorized Signature Date
S E P Q 2 2009
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.
Narayanaswamy, Ramanarayanan
Terms
5321 Ripplingbrook Way
Date Due
Carmel, IN 46032
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
99.02
8131109 332217 Refund
Total 99
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.
Narayanaswamy, Ramanarayanan Allowed 20
5321 Ripplingbrook Way
Carmel, IN 46032
In Sum of
99.02
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1047 332217 4358400 99.02 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
10 -Sep 2009
Signature
99.02 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund