HomeMy WebLinkAbout247823 07/28/1 5 > t CITY OF CARMEL, INDIANA VENDOR: 369673
d =I ONE CIVIC SQUARE CAMILIA ESPADA CHECK AMOUNT: $*****...76.00*
s. CARMEL, INDIANA 46032 13662 CHECK NUMBER: 247823
WOOD HILL CT CHECK DATE: 07/28/15
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000074004 76.00 REFUNDS AWARDS & INDE
Receipt#2000074.004.. Page i of 1
Moron Community Centerest Voucher #2000074.004
Building JUL 23 2015 Jul 21, 2015 3:46 PM
BYY
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
Car
FAX: -- 1 ---- 1 * Clave
Email: info@carmelclayparks.com
ks&Recreation
NATIONAL GOLD MEDAL WINNER
CAMIL
ESPA
13662 WOOD HILL COURT AND ACCREDITED AGENCY EC
CARMEL, IN 46032
Prepared By: mandys
Customer ID: 7412
Primary phone: (555) 555-5555, Secondary phone: (555) 555-5555
Refund Summary
Check: ($76.00) Check #
Total Received: ($76.00) Total Refund: ($76,00)
Transactions
Customer Description Item Unit Qty Fee Charge
Camila Espada Refund balance Refund Each 1.00 $76.00 ($76.00)
13662 wood Hill Court Action: Refund Balance balance
Carmel,IN 46032
Primary phone:(555)555-
5555
Email:cgr07@hotmaii.com
ID:7412
Total Charges ($76.00)
Total Payments ($76.00)
Balance $0
https:Hactivenet023.active.com/carmelclayparks/servlet/processRecelptPayment.sdi 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.
Espada, Camila Terms
13662 Wood Hill Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/21115 2000074004 Refund $ 76.00
Total $ 76.00
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.
Espada, Camila Allowed 20
13662 Wood Hill Court
- Carmel, IN 46032
In Sum of$
$ 76.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000074004 4358400 $ 76.00 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
July 23, 2015
Signature
$ 76.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund