174488 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 362908 Page 1 of 1
ONE CIVIC SQUARE ELLEN SANDERS
CARMEL, INDIANA 46032 APT 3 g RYANT LN CHECK AMOUNT: $55.00
a CHECK NUMBER: 174488
INDIANAPOLIS IN 46250
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 55.00 PARKS DEPARTMENT REFU
ACTIVITY REFUND RECEIPT
Receipt 268839 f
Payment Date: 06/04/2009 UN 2 4 Z�09
Household 26238
Home Phone: (317)833 -6190
Work Phone:
L
ELLEN SANDERS Monon Center
9120 BRYANT LN APT 3B Carmel IN 46032
i INDIANAPOLIS IN 46250
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oda Bal Refund New BaI
Module: Activity Registration 55.00 55.00 0.00
G/L Code Description Account Number Cst Cntr Description Account Number Amount
999999 Control Account (AP) Enter Control Aoct CNTRL Control Account (AP) Enter Control Acct here 55.00 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 55.00
Processed on 06/04/09 15:40:33 by CNA NEW REFUND AMOUNT 55.00
TOTAL REFUNDABLE AMOUNT
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 55.00 Made By REFUND FINAN With Reference low enrollment; baby yog
All refunds are subject to State Board of Accounts claim pro f 4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
AutKorized Signature Date Authorized Signature Date
Page 1
i
r' 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.
Terms
Sanders, Ellen
9120 Bryant. Ln, Apt 3B
Date Due
Indianapolis, IN 46250
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
55.00
614109 268839 Refund
Total 55.00
1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
1 20
Clerk Treasurer
Voucher No. Warrant No.
Sanders, Ellen Allowed 20
9120 Bryant Ln, Apt 3B
Indianapolis, IN 46250
In Sum of
55.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE N0. ACCT#/TITLE AMOUNT Board Members
Dept
1047 268839 4358400 55.00 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 -Jul 2009
L A A F L
Signature
55.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund