168575 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: T362475 Page 1 of 1
3 i. ONE CIVIC SQUARE PENELOPE LAWSON CHECK AMOUNT: $76.00
391 ARBOR DRIVE
CARMEL, INDIANA 46032
CARMEL IN 46032
CHECK NUMBER: 168575
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMO DESCRIPTION
1047 4358400 76.00 PARKS DEPARTMENT REFU
r,+
iI
ACTIVITY REFUND RECEIPT
Receipt 217468
Payment Date: 01/13/2009
Household 24015
Home Phone: (317)519 -4828
Work Phone: (317)595 -7353
PENELOPE LAWSON Monon Center
391 ARBOR DR Carmel IN 46032
CARNEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 76.00- 76.00 0.00
GIL Code Description Account Number Cst Cntr Descripti Account Number Amount
999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 76.00 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 76.00
Processed on 01/13/09 15:35:39 by LVA NEW REFUND AMOUNT 76.00
TOTAL REFUNDABLE AMOUNT 76.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 76.00 Made By REFUND FiNAN With Reference oil painting low enr
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issue No cash or credit card refunds.
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Authorized Si fj re Date Authorized Signature Date
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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.
Lawson, Penelope Terms
391 Arbor Drive Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1113109 -7 Refund 76.00
Total 76.00
f 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
T Clerk- Treasurer
Voucher No. Warrant No.
Lawson, Penelope Allowed 20
391 Arbor Drive
Carmel, IN 46032
In Sum of
4
76.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 j 4358400 76.00 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
2 -Feb 2009
Signature
76.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund