179468 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363562 Page 1 of 1
ONE CIVIC SQUARE MICHAEL WIRE
CHECK AMOUNT: $35.00
CARMEL, INDIANA 46032 11119 WOODBURY DRIVE
CARMEL IN 46033 CHECK NUMBER: 179468
CHECK DATE: 11/1112009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 347944 35.00 REFUNDS AWARDS INDE
GLOBAL REFUND RECEIPT
Receipt# 347944
Payment Date: 10/22/09
Household 25851
Monon Center Michael Wire Hm Ph: (317)848 -0291
Carmel IN 46032 11119 Woodbury Dr
Carmel IN 46033 Cell Ph:
Phone: (317)848 -7275 comtx @aol.com
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 35.00- 35.00 0.00
G/L Code Description Account Number Cst Cntr Description Account Number Amoun
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 35.00 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 35.00
Processed on 10/22/09 08:05:22 by TCP NEW REFUND AMOUNT 35.00
TOTAL REFUNDABLE AMOUNT 35.00'
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 35.00 Made By REFUND FINAN With Reference check refund
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.
I v a o�
Authorized Signature Date Authorized Signature Date
q00- Zd q3S gvocl
OCT 2 7 2009
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.
Wire, Michael Terms
11119 Woodbury Dr Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/22/09 347944 Refund 35.00
Total 35.00
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.
Wire, Michael Allowed 20
11119 Woodbury Dr
Carmel, IN 46033
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 347944 4358400 35.00 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
5 -Nov 2009
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund