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HomeMy WebLinkAbout167793 01/20/2009 CITY OF CARMEL, INDIANA VENDOR: T362367 Page 1 of 1 ONE CIVIC SQUARE ELIZABETH SELM CARMEL,. INDIANA 46032 20 SPRING DR CHECK AMOUNT: $45.00 ZIONSVILLE IN 46077 CHECK NUMBER: 167793 CHECK DATE: 1/2012009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIPTION 1047 4358400 215069 45.00 REFUNDS AWARDS INDE A ACTIVITY REFUND RECEIPT Receipt 215069 Payment Date: 01/05/2009 JAN �i 2009 Household 22723 Home Phone: (317)733 -6360 Work Phone: ELIZABETH SELM Monon Center 20 SPRING DR Carmel IN 46032 ZIONSVILLE IN 46077 Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Refund Details Module: Activity Registration Oria Bel Refund New Bal 45.00- 45.00 0.00 G/L Code Description Account Number Cst Cntr Description Account Number Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 45.00 DR Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers. PREVIOUS NET HOUSEHOLD BALANCE 45.00 Processed on 01/05/09 09:05:29 by TCP NEW REFUND AMOUNT 45.00 TOTAL REFUNDA13LE AMOUNT NEW NET HOUSEHOLD BALANCE 0.00 Refund of 45.00 Made By REFUND FINAN With Reference Low Enrollment All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be issued. No cash or credit card refunds. 7 Fr s Authorized Signature Date Authorized Signature Date SSSSS smart Socc.cr Sow IF-nr'o/%reoi- 3� o �eQ y �$w 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. Selm, Elizabeth Terms 20 Spring Dr Date Due Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 115109 215069 Refund 45.00 Total 45.00 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. Seim, Elizabeth Allowed 20 20 Spring Dr Zionsville, IN 46077 In Sum of 45.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1047 215069 435840a 45.00 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 15 -Jan 2009 Signature 45.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund