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
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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
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JOHN MERSHON
1620 WHITE ASH DRIVE
CARMEL IN 46033
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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
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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