167870 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T362365 Page 1 of 1
ONE CIVIC SQUARE RIMMA NEHME CHECK AMOUNT: $131.00
CARMEL, INDIANA 46032 8587 LAKE CLEARWATER LN #432
INDIANAPOLIS IN 46240 CHECK NUMBER: 167870
CHECK DATE: 1/20/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 131.00 PARKS DEPARTMENT REFU
0
t
ACTIVITY REFUND RECEIPT
Receipt 210646
Payment Date: 12/16/2008 JAN 77 2009
Household 11515
Home Phone: (317)284 -1552
Work Phone:
RIMMA NEHME Monon Center
8587 LAKE CLEARWATER LN. #432 Carmel IN 46032
INDIANAPOLIS IN 46240
'1 Phone: (317)848 -7275
`q Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 131.00 131.00 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 131.00 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 131.00
Processed on 12/16/08 14:09:14 by RDG NEW REFUND AMOUNT 131.00
CL :TOTALiREF<UN DAB LEAMOUNT:.
Jou.) e� r6 rA NEW NET HOUSEHOLD BALANCE 0.00
Refund of 131.00 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. No cash or credi card refunds.
L4-
Authorized Signature Date Authorized Signature Date
3-70 y35gyc�o
t'a�f1�1r� ran lJe-mrv,� c. LIs�v try
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.
Nehme, Rimma Terms
8587 Lake Clearwater Ln 432 Date Due
Indianapolis, IN 46240
.1
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/16/08 210646 Refund 131.00
Total 131.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Nehme, Rimma Allowed 20
8587 Lake Clearwater Ln 432
Indianapolis, IN 46240
In Sum of
131.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 210646 4358400 131.00 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
15 -Jan 2009
Signature
131.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund