HomeMy WebLinkAbout175223 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 362978 Page 1 of 1
ONE CIVIC SQUARE SUSAN WHITESIDE
CARMEL, INDIANA 46032 13700 MONIQUE DRIVE CHECK AMOUNT: $300.00
WESTFIELD IN 46074
CHECK NUMBER: 175223
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 300.00 PARKS DEPARTMENT REFU
GLOBAL REFUND RECEIPT
Receipt 294521
Payment Date: 07/06/2009
Household 6313
Home Phone: (317)733 -2358 r
Work Phone: (317)571 -4576 ryj
w JUL 0 6 2009
SUSAN WHITESIDE Carmel Clay Parks Recreation
13700 MONIQUE DRIVE 1235 Central Park Drive East
WESTFIELD IN 46074 Carmel IN 46032
Phone: (317)848 -7275
Fed Tax 1D #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 300.00- 300.00 0.00
GIL 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 300.00 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 300.00
Processed on 07(06109 1110:28 by ABK NEW REFUND AMOUNT O 300.00
TOTAL REFUNDABLE AMOUNT 300.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 300.00 Made By REFUND FINAN With Reference Camp add'I refund
All refunds are subj ct to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N cash_ -cred' card recur -tds
9 z/
Authorize Signature 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.
Whiteside, Susan Terms
13700 Monique Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
716109 294521 Refund 300.00
Total 300.00
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.
Whiteside, Susan Allowed 20
13700 Monique Drive
Westfield, IN 46074
In Sum of
300.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1046 284521 4358400 300.00 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
16 -Jul 2009
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund