212412 08/28/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 366508 Page 1 of 1
Q� ONE CIVIC SQUARE WEIQING WANG CHECK AMOUNT: $67.50
CARMEL, INDIANA 46032 12596 ROBINBROOK DRIVE
CARMEL IN 46033 CHECK NUMBER: 212412
CHECK DATE: 8128/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 67 . 50 REFUNDS AWARDS & INDE
000938031
woodbrook Elementary Clerk: NUP
Date: 08/20/2012 Time: 12:08:24
H/H: weiging Wang p,
F/M: Jessica Wang
�} et
Description Ext Price 112 L � F�ob n bYCOV
----------------------------
Pass 0 - Type 67. 50 `,1, d I
`-10-vi Si t
From 08/09/2011 - 0512412012
----------------------------------------
----------------------------------------
Rcpt# 938031 Prev Bal : 0.00
New Charges 67 SO- r° --_- --- _
New Tax: 0.00 `
Total Due: 67. 50- AUG 2 2 2012
Tot Refund: 67. 50
BY: �✓
New Bal : 0.00
Refund Type: Refund from Finance
REFUND FNA--NFZR-e— un f: 67. 50
Ref: 0 1-11-4358400
A zed Signature Date
------------------------- ------------
Authorized signature Date
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.
loin us for Tour de Carmel
Bike along with us on Saturday,
September 15, as we highlight some of
the best parks, businesses, and
entertainment Carmel has to offer. This
is a safe and family friendly event that
allows you to create lasting memories
while promoting fitness. From training
wheels to pedal clips, we have a route
for you! Don't want to ride? Come
volunteer with us! For more information
visit www.carmelclayparks.com.
Fed Tax ID #35-6000972
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Page 1
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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.
Wang, Weiqing Terms
12596 Robinbrook Dr. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) Amount
$ 67.50
8/20/12 938031 Refund
Total $ 67.50
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Wang, Weiqing Allowed 20
12596 Robinbrook Dr.
Carmel, IN 46033
In Sum of$
$ 67.50
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 938031 4358400 $ 67.50 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
23-Aug 2012
G
Signature
$ 67.50 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund