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177750 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 363370 Page 1 of 1 ONE CIVIC SQUARE HOWARD LOCKE CHECK AMOUNT: $60.00 CARMEL, INDIANA 46032 759 RICHLAND WAY WESTFIELD IN 46074 CHECK NUMBER: 177750 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMB AMO UNT DESCRIPTION 1047 4358400 335499 60.00 REFUNDS AWARDS INDE t GLOBAL REFUND RECEIPT Receipt 335499 Payment Date: 09/11/2009 F COY, W Household 30004 4F Home Phone: (317)439 -6379 S E P 1 4 2009 U HOWARD LOCKE Monon Center 759 RICHLAND WAY 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 60.00- 60.00 0.00 GIL Code Description Account Number Cst C ntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 60.00 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 60.00 Processed on 09/11/09 10:07:29 by TCP NEW REFUND AMOUNT 60.00 TOTAL REFUNDABLE AMOUNT 601017 NEW NET HOUSEHOLD BALANCE 0.00 Refund of 60.00 Made By REFUND FINAN With Reference Low Enrollment 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. Authorized Signature Date Authorized Signature Date DO I 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. Locke, Howard Terms 759 Richland Way Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 60.00 9111109 335499 Refund E TOta ,0.00 I 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 a• Voucher No. Warrant No. Locke, Howard Allowed 20 759 Richland Way Westfield, IN 46074 in Sum of 60.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1047 335499 4358400 60.00 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 24 -Sep 2009 Signature 60.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund