HomeMy WebLinkAbout246764 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 00353336
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ONE CIVIC SQUARE BARB DIEHM CHECK AMOUNT: $ 99.00CARMEL, INDIANA 46032 562 MEMORY LANE CHECK NUMBER: 246764
CARMEL IN 46032 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000023004 99.00 REFUNDS AWARDS & INDE
Receipt#2000023.004 Page 1 of 1
Monon Community Center West JUN 1 2015 ;Voucher #2000023.004
Building ! Jun 15, 2015 8:30 PM
1195 Central Park Dr. West --= --
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Car
Email: info@carmelclayparks.com
Parks&Recreation
NATIONAL GOLD MEDAL WINNER
BARB DIEHM
AND ACCREDITED AGENCY
562 MEMORY LANE
CARMEL, IN 46032
Prepared By: markc
Customer ID: _ _ . 668 -
Primary phone: (317) 844-0560, Secondary phone: --
Refund Summary
Check: ($99.00) Check #
Total Received: ($99.00) Total Refund: ($99.00)
Transactions
Customer Description Item Unit qty Fee Charge
Barb Diehm Escape Pass-Household Monthly Membership Each 1.00 $99.00 ($99.00)
562 Memory Lane Action: Membership Refund Fee
Carmel,IN 46032 Expires:Jun 15,2015
Primary phone:(317)844- 10 Passes Sold
0560 Pass# 130024906: Barb Diehm
Email: Pass# 130026112: Ron Diehm
barbdiehm@yahoo.com Pass# 130026451: Jack Waterman
ID:668 Pass# 130026168: Lindsay Waterman
Pass# 000005208: Weston Waterman
Pass# 000005209: Whitney Waterman
Pass#000005210: Wyatt Waterman
Thanks for your purchase!This pass will
automatically renew each month, until cancellation
request is received. Cancellation request must be
received 7 days prior to billing date.
Total Charges ($99.00)
Total Payments ($99.00)
Balance $0
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https:Hactivenet023.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 6/15/2015
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.
Diehm, Barb Terms
562 Memory Lane Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/15/15 2000023004 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 1C 5-11-10-1.6
, 20
Clerk-Treasurer
I
Voucher No. Warrant No.
Diehm, Barb Allowed 20
562 Memory Lane
Carmel, IN 46032
In Sum of$
I
1,
$ 99.00
I
ON ACCOUNT OF APPROPRIATION FOR I
I
I
109 -MCC
I'
I
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1092 2000023004 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
ireceived except
i
June 25,2015
'P
Signature
$ 99.00 j Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund