247741 07/28/15 `' ;� CITY OF CARMEL, INDIANA VENDOR: 369660
® ONE CIVIC SQUARE KIMBERLY ASHER CHECK AMOUNT: $"""''148.50"
:., �° CARMEL, INDIANA 46032 3232 JASON STREET CHECK NUMBER: 247741
+,,_oN.�� CARMEL IN 46033 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000075004 148.50 REFUNDS AWARDS & INDE
Receipt#2000075.004 Page I of I
L)
Monon Community Center West JUL 23 2015 Vo I ucher #2000075.004
Building BY:
Jul 21, 2015 4:15 PM
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carmel @ Clay
Email: info@carmelclayparks.com
Parks& Recrea Lion
NATIONAL GOLD MEDAL WINNER
KIMBERLY ASHER
3232 JASON ST. AND ACCREDITED AGERCY
CARMEL, IN 46033
Prepared By: shaunal
Customer ID: 8365
Primary phone: (317) 438-6005, Secondary phone:
Refund Summary
Check: ($148.50) Check #
Total Received: ($148.50) Total Refund: ($148.50)
Transactions
Customer Description Item Unit Qty Fee Charge
Kimberly Asher Refund balance Refund Each 1.00 $148.50 ($148.50)
3232 Jason St. Action: Re�un,,,. balance
Carmel,IN 46033
Primary phone:(317)438-
6005
Email:--
ID:8365
Total Charges ($148.50)
Total Payments ($148.50)
Balance $0
https://activenet023.active.com/carmelcIayparks/serv]et/processReceiptPayment.sd1 7/21/2015
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.
Asher, Kimberly Terms
3232 Jason St Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/21/15 2000075004 Refund $ 148.50
Total $ 148.50
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.
Asher, Kimberly Allowed 20
3232 Jason St
Carmel, IN 46033
In Sum of$
$ 148.50
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1092 2000075004 4358400 $ 148.50 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 23, 2015
PAO"VXtAi
Signature
$ 148.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund