HomeMy WebLinkAbout246814 06/30/1 5 a`'
*% . CITY OF CARMEL, INDIANA VENDOR: 369535
d t ONE CIVIC SQUARE ERIKA GREEN CHECK AMOUNT: $**"*"'"99.00'
f, � CARMEL, INDIANA 46032 3677 GOULD DRIVE CHECK NUMBER: 246814
'M,�r�N�o. CARMEL IN 46033 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 200022004 99.00 REFUNDS AWARDS & INDE
Receipt 42000022.004 Page 1 of 1
r
Monon Community center: JUN 17 2015 Voucher #2000022.004
West Building I Jun 15, 2015 11:56 AM
1195 Central Park Dr. West __1 (Duplicate Receipt)
Carmel, IN 46032
Phone: (317) 848-7275
Email: Can tla
info@carmelclayparks.com
corks& ;creation
NATIONAL GOLD MEDAL WINNER
ERIKA GREEN AND ACCREDITED AGENCY"
3677 GOULD
DRIVE
CARMEL, IN
46033 Prepared By: mace)
Customer ID: 16776
Primary phone: (317) 703-4414, Secondary phone: (317) 703-4414
Refund Summary
Check: ($99.00) Check #
Total Received: ($99.00) Total Refund: ($99.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Erika Green Refund balance Refund Each 1.00 $99.00 ($99.00)
3677 Gould Drive Action: Refund balance
Carmel,IN 46033 Balance
Primary phone:
(317)703-4414
Email:
erikagreen@me.com
ID: 16776
Total Charges ($99.00)
Total Payments ($99.00)
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.
Green, Erika Terms
3677 Gould Drive Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/15 2000022004 Refund $ 99.00
Total $ 99.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Green, Erika Allowed 20
3677 Gould Drive
Carmel, IN 46033
In Sum of$
$ 99.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000022004 4358400 $ 99.00 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
$ 99.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund