172601 05/13/2009 a CITY OF CARMEL, INDIANA VENDOR: 362856 Page 1 of 1
L ONE CIVIC SQUARE CHRIS VAUGHN CHECK AMOUNT: $20.00
CARMEL, INDIANA 46032 837 BRIDLE CT
o� CARMEL IN 46032 CHECK NUMBER: 172601
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 253663 20.00 REFUNDS AWARDS INDE
C�
GLOBAL REFUND RECEIPT
Receipt 253663 CiF� t
Payment Date: 04/28/2009 Q 11
Household 25121
Home Phone: (317)690 -5254 APR 8 1009
Work Phone:
BY: 51 a.
CHRIS VAUGHN Carmel Clay Parks Recreation
837 BRIDLE CT. 1235 Central Park Drive East
CARMEL IN 46032 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund De tails
Orio Bal Refund New Bal
Module: Pass Management 20.00 20.00 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 20.00 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 20.00
Processed on 04/28/09 09:03:44 by ABK NEW REFUND AMOUNT 20.00
.TOTAL',REFUNDABLE "AMOUNT,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 20.00 Made By REFUND FINAN With Reference Ins reimb for 3/09
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 credit card refunds.
o e 1v s
Authorized ignat Date Authorized Signature Date
Page 1
ACCOUNTS PAYABLE VOUCHER
v 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.
Vaughn, Chris Terms
837 Bridle Ct Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4128109 253663 Refund 20.00
Total 20.00
V 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
i
Voucher No. Warrant No.
Vaughn, Chris Allowed 20
837 Bridle Ct
Carmel, IN 46032,
In Sum of$
20.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept
1047 253663 4358400 20,00 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
7 -May 2009
Signature
20.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund