HomeMy WebLinkAbout177386 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363322 Page 1 of 1
0 ONE CIVIC SQUARE CONSTANCE SCHAIBLEY
CARMEL, INDIANA 46032 10778 LEXINGTON DR CHECK AMOUNT: $14.00
INDIANAPOLIS 46280
CHECK NUMBER: 177386
CHECK DATE: 9/15/2009
D EPARTMENT A CCOUNT PO NUMBE INVOICE N UMBER AMOUNT DESCRIPTION
1047 4358400 333112 14.00 REFUNDS AWARDS INDE
ACTIVITY REFUND RECEIPT
Receipt 333112
Payment Date: 09/03/2009 FSEP 0 4 2009
Household 6979
Home Phone: (317)843 -9361
Work Phone:
CONSTANCE SCHAIBLEY Monon Center
10778 LEXINGTON DR. Carmel IN 46032
INDIANAPOLIS IN 46280
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bai Refund New Bal
Module: Activity Registration 14.00- 14.00 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 14.00 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 14.00
Processed on 09/03/09 14:55:01 by MML NEW REFUND AMOUNT 14.00
TOTAL REFUNDABLE AMOUNT 14.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 14 -00 Made By REFUND FINAN With Reference Advanced Request
All refunds are sub' ct ate oard of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
issued. N sh a car funds.
cfT
i Sign to Date Authorized Signature Date
X35 Sao
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.
Schaibley, Constance Terms
10778 Lexington Dr Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
913109 333112 Refund 14.00
Total 14.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Schaibley, Constance Allowed 20
10778 Lexington Dr
Indianapolis, IN 46280
In Sum of
14.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1047 333112 4358400 14.00 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
10 -Sep 2009
Signature
14.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund