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173082 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362910 Page 1 of 1 ONE CIVIC SQUARE AMANDA WEBER O INDIANA 46032 CHECK AMOUNT: $375.00 CARMEL 611 LEXINGTON BLVD CARMEL IN 46032 CHECK NUMBER: 173082 CHECK DATE: 5/27/2009 DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMB AMO DESCRIPTION 1046 4358400 261920 375.00 REFUNDS AWARDS INDE ACTIVITY REFUND RECEIPT Receipt 261920 Payment Date: 05/21/2009 Household 17601 Home Phone: (317)844 -7136. MAY 2 1 2009 Work Phone: (317)887 -8440 L,7 AMANDA WEBER Morton Center 611 LEXINGTON BLVD. Carmel IN 46032 CARMEL IN 46032 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Orio Bal Refund New Bat Module: Activity Registration 375.00- 375.00 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 375.00 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 375.00 Processed on 05/21/09 07:58:55 by JAS NEW REFUND AMOUNT 375.00 TOTAL REFUNDABLE AMOUNT 375.00 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 375.00 Made By REFUND FINAN With Reference check refund All refun re subject to State Boar f Accounts claim procedure and may take 4 -6 weeks to process. A check will be 17 ued. o ca h or credit and fun d s. Aut ri ig lure Date Authorized Signature Date 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. Weber, Amanda Terms 611 lexington Blvd Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5121109 261920 Refund 375.00 Total 375.00 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. Weber, Amanda Allowed 20 611 lexington Blvd Carmel, IN 46032 In Sum of 375.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 261920 4358400 375.00 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 21 -May 2009 Signature 375.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund