247405 07/15/15 `%0 oqq�,°. CITY OF CARMEL, INDIANA VENDOR: 369554
`` CHECK AMOUNT: $****"•198.00'
�i,• ONE CIVIC SQUARE GLENDA MITCHELL
�� a CARMEL, INDIANA 46032 969 NEVELLE LANE CHECK NUMBER: 247405
'M,�ro _ CARMEL IN 46032 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000048004 198.00 REFUNDS AWARDS & INDE
Receipt#2000048.004 Page 1 of 1
JUL 06 20 55
Monon Community Center W Sy: Voucher ##2000048.004
Building
Jul 2 2015 1:41 PM
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275 IL 0
IL Y
FAX: -- a r m a
Email: info@carmelclayparks.comV"06. a
Parksm m...crea'It-ton
GLENDA MITCHELL MEDALNATIONAL GOLD
�
969 NEVELLE LN AND
EDITED AGENCY
CARMEL, IN 46032
Prepared By: shaunal
Customer ID: 871
Primary phone: (317) 844-5749, Secondary phone: (317) 844-5749
Refund Summary _..----._..._T. . .-_..
Check: ($198.00) Check #
Total Received: ($198.00) Total Refund: ($198.00)
j Transactions
....._.._.....__-...-_._. .
....-............_........._.�.__..__ ............................................._...._..................._.....................__.........__..._......_..........................................._................................__.........._....._.........._ .....
Customer Description Item Unit Qty Fee Charge
Glenda Mitchell Refund balance Refund Each 1.00 $198.00 ($198.00)
969 Nevelle Ln Action: Refund Balance balance
Carmel,IN 46032
Primary phone:(317)844-
5749
Email:
gimitche)15366@gmaii.com
ID:871
Total Charges ($198.00)
Total Payments ($198.00)
Balance $0
C6WA-A�� UYV�
lhttps://activenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 7/2/2015
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.
Mitchell, Glenda Terms
969 Nevelle Ln Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
___7/2/1.5 2000048004 Refund $ 198.00
Total $ 198.00
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.
Mitchell, Glenda , Allowed 20
969 Nevelle Ln
Carmel, IN 46032
In Sum of$
i
i
$ 198.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#orBoard Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1092 2000048004 4358400 $ 198.00 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
i
i
July 9, 2015
'P
Signature
$ 198.00 i. Accounts Payable Coordinator
Cost distribution ledger classification if ; Title
claim paid motor vehicle highway fund
1