226210 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367751 Page 1 of 1
ONE CIVIC SQUARE HUALEI ZHANG
CARMEL, INDIANA 46032 11437 MEARS DR CHECK AMOUNT: $70.00
ZIONSVILLE IN 46077 CHECK NUMBER: 226210
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 70 . 00 REFUNDS AWARDS & INDE
GLOBAL REFUND RECEIPT
Receipt# 1167750
Carm C i a 18Y Payment Date: 11/.06/_13
fOCS& C('�7 � f1 Household #: 34414
tC NOV - 6 2013
Monon Community Center Hualei Zhang JBY- e
Carmel IN 46032 11437 Mears Dr.
Zionsville IN 46077 Cell Ph-.(516)38_9--T162
hualei.zhang @gmail.com
Phone: (317)848-7275
Fed Tax ID#35-6000972
Refund Details
Oria Bai Refund New Bal
Module: Activity Registration 70.00- 70.00 0.00
PREVIOUS NET HOUSEHOLD BALANCE 70.00
Processed on 11/06/13 @ 09:42:26 by JAB NEW REFUND AMOUNT(-) 70.00
r _ 1
+()0 TOTAL REFUNDABLE AMOUNT 70.00
NEW NET HOUSEHOLD BALANCE 0.00
Refund of=_> 70.00 Made By=_>REFUND FINAN With Reference==>check refund
All refunds are subject to State Board of Accounts procedures and may take 4-6 weeks to process. No cash refunds will be
is d.
I 3
Authorize gnature Date I Authorized Signature Date
Escape-Day Passes are non-refundable.
Page# 1 of 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.
Zhang, Hualei Terms
11437 Mears Dr. Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/6/13 1167750 Refund $ 70.00
Total $ 70.00
I 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.
Zhang, Hualei Allowed 20
11437 Mears Dr.
Zionsville, IN 46077
In Sum of$
$ 70.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 1167750 4358400 $ 70.00 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
14-Nov 2013
Signature
$ 70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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