175810 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 363196 Page 1 of 1
ONE CIVIC SQUARE SHERRIE MILLS
CARMEL, INDIANA 46032 2729 JOSHUA DRIVE CHECK AMOUNT: $280.00
CARMEL IN 46033 CHECK NUMBER: 175810
CHECK DATE: 816/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4358400 306710 280.00 REFUNDS AWARDS FIDE
11
000306710
o @oory &000!0
Monon center Clerk: MAK 2 7
2009
Date: 07/21/2009
Time: 14:03:45
H /H: Sherrie Mills
Description Ext Price
Rcpt# 306710 Prev Bal 280.00- LA/ `�u T iJ
New Charges 0.00
New Tax: 0.00
Total Due: 280.00- JJ
akAt
Tot Refund: 280.00�3�'
h
New Bal: 0.00
Refund Type: Refund from Finance
REFUND FINAN Refund of: 280.00 JI y J�
All refunds are subject to State Board
of Accounts claim procedure and may take
4 -6 weeks to process. A check will be
issued. No cash or credit card refunds.
"o d Signature Date /00 2.60
A uthorized Signature Date
Fed Tax ID #35- 6000972
o!"
Rcpt# 306710
a@
Om
Page 1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Mills, Sherrie Terms
2729 Joshua Dr Date Due
Carmel, IN 46033
i
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/21109 306710 Refund 280.00
Total 280.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
,20�
Clerk- Treasurer
Voucher No. Warrant No.
Mills, Sherrie Allowed 20
2729 Joshua Dr
Carmel, IN 46033
In Sum of$
280.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 306710 4358400 280.00 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
30 -Jul 2009
Signature
280.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund