173029 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 362905 Page 1 of 1
ONE CIVIC SQUARE LEE SEUNGYN
y 0 CARMEL, INDIANA 46032 1209TH ST NW CHECK AMOUNT: $6.00
CARMEL IN 46032 CHECK NUMBER: 173029
CHECK DATE: 5/27/2009
DEPARTM AC COUNT PO NUMB INVOICE N UMBER AMO DE SCRIPT ION
1046 4358400 261410 6.00 REFUNDS AWARDS INDE
I
ACTIVITY REFUND RECEIPT
r-7
Receipt 261410
Payment Date: 05/19/2009
Household 22460 MAY 1 9 2009 'u
Home Phone: (317)473 -8604
Work Phone: (317)
li d o
SEUNGYUN LEE Monon Center
120 9TH ST NW Carmel IN 46032
CARMEL IN 46032
Phone: (317)848-7275
Fed Tax ID #35- 6000972
Refund Details
Oria Bal Refund New Bal
Module: Activity Registration 6.00- 6.00 0.00
GIL 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 6.00 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 6.00
Processed an 05/19/09 08:24:58 by JAS NEW REFUND AMOUNT 6.00
TOTAL REFUNDABLE AMOUNT 6.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of 6.00 Made By REFUND FINAN With Reference check refund
All refunds are subject to State Board of Accounts claim procedure and may take 4 -6 weeks to process. A check will be
iss d. o cash or relit c rd refu ds.
uth ri e Signature Date Authorized Signature Date
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.
Lee, Seungyun Terms
120 9th St NW Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/19/09 261410 Refund 6.00
Total 6.00
I 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.
Lee, Seungyun Allowed 20
120 9th St NW
Carmel, IN 46032
In Sum of
6.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rTITLE AMOUNT Board Members
Dept
1046 261410 4358400 6.00 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
Signature
6.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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