HomeMy WebLinkAbout173018 08/27/2009 CITY OF CARMEL, INDIANA VENDOR: T362676 Page 1 of 1
ONE CIVIC SQUARE SALENTINE THOMAS
a CARMEL, INDIANA 46032 2980 KINGS COURT CHECK AMOUNT: $15.00
CARMEL IN 46032 CHECK NUMBER: 173018
CHECK DATE: 5/27/2009
DEPARTMENT ACCOUNT PO N UMBER I NVOICE NU MBER AMOU D ESCRIPTION
1047 4358400 252622 15.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECENT
Receipt 252622
Payment Date: 04/2312009
Household 5861
Home Phone: (317)733 -4343
Work Phone: MAY 2
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THOMAS SALENTINE Monon Center
2980 KINGS COURT Carmel IN 46032
CARMEL IN 46032
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orin Bal_ Refund New Bal
Module: Activity Registration 15.00- 15.00 0.00
GA_ 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 15.00 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 15.00
Processed on 04/23/09 12;27:49 by CNA NEW REFUND AMOUNT 15.00
TOTAL REFUNDABLE AMOUNT 15.00,
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 15.00 Made By REFUND FINAN With Reference 14 enrollment; fmld
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
i ed. No cash or credit card refunds.
Authorized Signature Date Authorized Signature Date
y17 q& Wo b
Page 1
ACCOUNTS PAYABLE VOUCHER
4 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.
Salentine, Thomas Terms
2980 Kings Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4123/09 252622 Refund 15.00
Total 15.00
1 hereby certify that the attached invoice(s), or bills) 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.
Salentine, Thomas Allowed 20
2980 Kings Court
Carmel, IN 46032
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 252622 4358400 15.00 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
21 -May 2009
f
Signature
Is 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund