HomeMy WebLinkAbout172420 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: T361451 Page 1 of 1
ONE CIVIC SQUARE ANGELA LINEBACK CHECK AMOUNT: $32.00
CARMEL, INDIANA 45032 3491 INVERNESS BLVD
CARMEL IN 48032 CHECK NUMBER: 112420
a
r CHECK DATE: 5/13/2009
`bEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4358400 253483 32.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
RJcei t 253483 2
ll
Payment Date: 04/27/2009 AP R
9 2009
Household 121
H
ork (317) -9046 BY, (a
ANGELA LINEBACK Monon Center
3491 INVERNESS BLVD. Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Ong Bal Refund New Bat
Module. Activity Registration 32.00- 32.00 0.00
G1L 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 32.00 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 32.00
Processed on 04/27/09 15:14:08 by JAS NEW REFUND AMOUNT 32.00
TOTAL REFUNDABLE AMOUNT 32A0
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 32.00 Made By REFUND FINAN With Reference
All ref nds 'ashhor re subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No credit card refunds.
Auth iz d ature Dale Authorized Signature Date N V3
CA
Page 1
V.
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.
Lineback, Angela Terms
3491 Inverness Blvd Date Due
Carmel, IN 46032
s
Invoice Invoice Description 1
Date Number (or note attached invoice(s) or bill(s)) Amount
4127109 253483 Refund 32.00
Total 32.00
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,
Lineback, Angela Allowed 20
3491 Inverness Blvd
Carmel, IN 46032
In Sum of$
�3
32.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1046 253483 4358400 32.00 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
7 -May 2009
Signature
32.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund