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HomeMy WebLinkAbout174427 07/08/2009 =1G9. CITY OF CARMEL, INDIANA VENDOR: 363037 Page 1 of 1 ONE CIVIC SQUARE JOHN MERSHON CARMEL, INDIANA 46032 1620 WHITE ASH DRIVE CHECK AMOUNT: $377.19 CARMEL IN 46033 CHECK NUMBER: 174427 fi o c CHECK DATE: 7/8/2009 DEPARTM ACCOU PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION f 1047 4358400 377.19 PARKS DEPARTMENT REFU PASS REFUND RECEIPT Receipt 285911�,��,, Payment Date: 06/25/2009 Household 9086 Home Phone: (317)843 -2475 JUN Work Phone: (317)788 -3259 3 Q 2009 I� v JOHN MERSHON 1620 WHITE ASH DRIVE CARMEL IN 46033 ,r W/ Refund Details New Bal Module: Pass Management 0.00 G!L Code I7usCriptiQn A� hi�m� @C- Cst Cr1tr Description Amount 999999 Control Account (AP) Enter Control Acct CNTRL Control Account (AP) Enter Control Acct here 377,19 DR Finance will have to DEBIT the CONTROL account for the amounts listed above after the checks have been written to the customers. PREVIOUS NET HOUSEHOLD BALANCE 377.19 Processed on 06!25109 07:55:02 by RDC> NEW REFUND AMOUNT 377.19 TOTALiREFUNDA'BLE AMOUNT::':•'` 377:19 NEW NET HOUSEHOLD BALANCE 0.00 Refund at 377.19 Mad B 41Boa- INAN With Reference All refund ubject t tacounts claim rocedure and may take 4 -6 weeks to process. A check will be is o cash or cr It car Authorized Sign ure Date P thorized Signature Date G -t I YO J f vt L Page 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Mershon, John Terms 1620 White Ash Drive Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6125109 285911 Refund 377.19 Total 377.19 1 hereby certify that the attached invoice(s), or blll(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20� Clerk- Treasurer Voucher No. Warrant No. Mershon, John Allowed 20 1620 White Ash Drive Carmel, IN 46033 In Sum of$ 377.19 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCTXTITLE AMOUNT Board Members Dept 1047 285911 4358400 377.19 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 Signature 377.19 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund