247030 06/30/15 *.F CITY OF CARMEL, INDIANA VENDOR: 369529
® ONE CIVIC SQUARE GERALD WEED CHECK AMOUNT: $**......14.00*
r ?� CARMEL, INDIANA 46032 9759 PINE SOUTH DRIVE CHECK NUMBER: 247030
ZIONSVILLE IN 46077 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000018004 14.00 REFUNDS AWARDS & INDE
Rece;,vt #2000018.004 Page 1 of 1
JUN 18 2015
Monon Community Center Westy_---_____._ Voucher #2000018.004
Building Jun 12, 2015 10:43 AM
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
k� ay
FAX: --
Email: info@carmelclayparks.com ,jrp s Q- creatio
NATIONAL GOLD MEDAL WINNER
GERALD WEED A
9759 PINE RIDGE SOUTH AND ACCREDITED AGENCY
DRIVE
ZIONSVILLE, IN 46077
Prepared By: shaunal
Customer ID: 17728
Primary phone: (317) 586-0571, Secondary phone: --
Refund Summary
Check: ($14.00) Check #
Total Received: ($14.00) Total Refund: ($14.00)
Transactions -
Customer Description Item Unit Qty Fee Charge
Gerald weed Refund balance Refund Each 1.00 $14.00 ($14.00)
9759 Pine Ridge South Drive Action: Refund Balance balance
Zionsville,IN 46077
Primary phone: (317)586-
0571
Email:--
ID: 17728
Total Charges ($14.00)
Total Payments ($14.00)
Balance $0
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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.
Weed, Gerald Terms
9759 Pine Ridge South Drive Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/15 2000018004 Refund $ 14.00
1�
Total $ 14.00
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.
Weed, Gerald Allowed 20
9759 Pine Ridge South Drive
Zionsville, IN 46077
In Sum of$
$ 14.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000018004 4358400 $ 14.00 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
June 25, 2015
Signature
$ 14.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
` claim paid motor vehicle highway fund
I