174117 06/24/2009 "c• CITY OF CARMEL, INDIANA VENDOR: 362985 Page 1 of 1
O' ONE CIVIC SQUARE BENJAMIN WILSON
CARMEL, INDIANA 46032 1858 TOURMALINE DRIVE CHECK AMOUNT: $150.00
'c WESTFIELD IN 46074 CHECK NUMBER: 174117
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2046 4358400 150.00 REFUNDS AWARDS INDE
I
GLOBAL REFUND RECEIPT
Receipt 278262
Payment Date: 06/17/2009 JUN 2 2 1009
Household 17552
Home Phone: (317)867 -2853
Work Phone: (317)523 -8834 BY.
BENJAMIN WILSON Monon Center
1858 TOURMALINE DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 150.00 150.00 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 150.00 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 150.00
Processed on 06/17/09 09:12:01 by BJJ NEW REFUND AMOUNT 150.00
TOTAL REFUNDABLE AMOUNT 150.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 150.00 Made By REFUND FINAN With Reference
All refunds are ubject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. No c h or credit card refunds.
Z orized Sig re Date Authorized Signature Date
o (00,�— V3 S�qoo
4
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.
Wilson, Benjamin Terms
1858 Tourmaline Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/17/09 278262 Refund 150.00
Total 150.00
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.
Wilson, Benjamin Allowed 20
1858 Tourmaline Drive
Westfield, IN 46074
In Sum of
Al
150.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1046 278262 4358400 150.00 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
22 -Jun 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund