247243 07/15/15 os C4A,N
CITY OF CARMEL, INDIANA VENDOR: 369549
ONE CIVIC SQUARE RAOUF ESTEFANSO CHECK AMOUNT: $**"'*'**74.25*
a° CARMEL, INDIANA 46032 1254 GOLFVIEW DR CHECK NUMBER: 247243
CARMEL IN 46032 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 74.25 REFUNDS AWARDS & INDE
Receipt #2000001.005 . . Page 1 of l
.. ,
J
The Waterpark JUN 2 9 2015 Voucher #2000001.005
1195 Central Park Dr. Wes Jun 24, 2015 1:16 PM
Carmel, IN 46032
Phone: (317) 848-7275
FAX: --
Email: J7 dP'wi*v'%
info@carmelclayparks.com ae%rks Kecreation
NATIONAL COLD MEDAL WINNER
RAOUFESTEFANOS AND ACCREDITED AGENCY
1254 GOLFVIEW DR
CARMEL, IN 46032
Prepared By: macel
Customer ID: 7699
Primary phone: (317) 555-5555, Secondary phone: (317) 555-5555
Refund Summary
Check: ($74.25) Check #
Total Received: ($74.25) Total Refund: ($74.25)
Transactions
Customer Description Item Unit Qty Fee Charge
Raouf Estefanos Escape Pass- Household Monthly Membership Each 1.00 $74.25 ($74.25)
1254 Golfview Dr Action: Membership Refund Fee
Carmel,IN 46032 Expires: Jun 15, 2015
Primary phone:(317)555- 15 Passes Sold
5555 Pass# 130029388: Raouf Estefanos
Email: Pass# 130029387: Ghada Kamel
raoufedward@yahoo.com Pass # 130031443: Fady Zaki
ID: 7699 Pass # 130029463: Nader Zaki
Pass # 130031411: Sandy Zaki
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 ($74.25)
Total Payments ($74.25)
Balance $0
`t'3s--8'`f00 � t
https://activenet023.active.com/carmeIclayparks/servlet/processReceiptPayment.sdi 6/24/2015
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.
Estefanso, Raouf Terms
1254 Golfview Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/15 2000001005 Refund $ 74.25
i
Total $ 74.25
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.
Estefanso, Raouf Allowed 20
1254 Golfview Dr
Carmel, IN 46032
In Sum of$
$ 74.25
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
Board Members
ept# INVOICE NO. ACCT
#/TITL AMOUNT
Dept#
1092 2000001005 4358400 $ 74.25 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
July 9, 2015
.Q�1J
Signature
$ 74.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund