175103 07/22/2009 "yF CITY OF CARMEL, INDIANA VENDOR: 363114 Page 1 of 1
ONE CIVIC SQUARE AMANDA RHOADS
CARMEL, INDIANA 46032 8998 KISER POINT CHECK AMOUNT: $39.00
INDIANAPOLIS IN 46256 CHECK NUMBER: 175103
CHECK DATE: 7/22/2009
DEP ARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 296334 39.00 REFUNDS AWARDS INDE
�r
ACTIVITY REFUND RECEIPT
Receipt 296334
Payment Date: 07/09/2009
Household 14622
Home Phone: (317)446 -7024
Work Phone: (317)249 -5262
AMANDA RHOADS Monon Center
8998 KISER POINT Carmel IN 46032
INDIANAPOLIS IN 46256
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 39.00 39.00 0.00
G/L Code Description Account Number Cst Cntr Description Account N Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 39.00 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 39.00
Processed on 07/09109 09:49:10 by ALC NEW REFUND AMOUNT 39.00
TOTAL REFUNDABLE AMOUNT 39:00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 39.00 Made By REFUND FINAN With Reference from H.H.
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
is ued. No cash or credit card refunds.
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Authorized Signature bate Authorized Signature Date
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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.
Terms
Rhoads, Amanda
Date Due
8998 Kiser Point
Indianapolis, IN 46256
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
39.00
7/9109 296334 Refund
Total 39.00
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.
Rhoads, Amanda Allowed 20
8998 Kiser Point
Indianapolis, IN 46256
In Sum of
39.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 296334 4358400 39.00 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
20 -Jul 2009
fi 4 "'l vu,",
Signature
39.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund