170238 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: T362696 Page 1 of 1
ONE CIVIC SQUARE VITALES JANET CHECK AMOUNT: $154.00
CARMEL, INDIANA 46032 433 MCLAREN LANE
CARMEL IN 46032
CHECK NUMBER: 170238
CHECK DATE: 3/31/2009
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 241032 154.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt 241032
Payment Date: 03/19/2009
Household 4612 'y
Home Phone: (317)580 -0910
Work Phone: MAR 2 5 2009
V
JANET VITALES Monon Center
433 MCLAREN LANE 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 154.00- 154.00 0.00
G/L Code Description Account Number Cst Cntr Descri Account Num Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 154.00 OR
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 154.00
Processed on 03/19109 14:18:12 by CRB NEW REFUND AMOUNT O �Y54 "DO
3TOTAL =REFUN DAB LE AMOUNT 154 :00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 154 -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 wi I be
issued. No cash or credit card refunds.
Authorized Signature Date Authorized Signature Date
y— 60 —Z00 5 t�DC,
Page 1
i
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.
Vitales, Janet Terms
433 mcLaren Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3119/09 241032 Refund 154.00
Total 154.00
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.
Vitales, Janet Allowed 20
433 mcLaren Lane
Carmel, IN 46032
In Sum of
154.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1047 241032 4358400 154.00 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
25 -Mar 2009
Signature
154.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund