169527 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362598 Page 1 of 1
ONE CIVIC SQUARE LORI MCKEEVER
•I O
CARMEL, INDIANA 46032 14306 AUTUMN WOODS DRIVE CHECK AMOUNT: $15.00
WESTFIELD IN 46074 CHECK NUMBER: 169527
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOI CE NUMBER AM OUNT DESCRIPTION
1047 4358400 232173 15.00 REFUNDS AWARDS INDE
r
C.
GLOBAL REFUND RECEIPT
Receipt 232173 ;o
Payment Date: 0212312009
Household 17245 1
Dome Phone: (317)574 -0577 FEB 2 2009
Work Phone: (317)
BY:
LORI MCKEEVER Monon Center
14306 AUTUMN WOODS DRIVE Carmel IN 46032
WESTFIELD IN 46074
Phone: (317)848 -7275
Fed Tax ID #35- 6000972
Refund Details
Orio Bal Refund New Bal
Module: Activity Registration 27.00- 15.00 12.00
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 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 CREDIT HOUSEHOLD BALANCE 27.00
Processed on 02!23109 14:11:11 by CNA NEW REFUND AMOUNT 15.00
TOTAL REFUNDABLE AMOUNT 15.00
NEW NET CREDIT HOUSEHOLD BALANCE 12.00
Refund of 15.00 Made By REFUND FINAN With Reference low enrollmen I E
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.
Authorized "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.
McKeever, Lori Terms
14306 Autumn Woods Drive Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23109 232173 Refund 15.00
Total 15.00
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.
McKeever, Lori Allowed 20
14306 Autumn Woods Drive
Westfield, IN 46074
In Sum of
15.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 232173 4358400 15.00 1 'hereby certify that the attached invoice(s), or
bil!(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
26 -Feb 2009
Signature
15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund