248736 08/26/15 Lqq -
4� '• CITY OF CARMEL, INDIANA VENDOR: 369755
ONE CIVIC SQUARE LESLIE BONACKER CHECK AMOUNT: $*******444.00*
f. ?� CARMEL, INDIANA 46032 5860 HORNBEAN CT CHECK NUMBER: 248736
9M,_roN�o, CARMEL IN 46033 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000320003 444.00 REFUNDS AWARDS & INDE
WQeipt #2000032.003 Pale 1 of 1
Monon Community Center East Voucher #2000032.003
Building Aug 17, 2015 3:49 PM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (314) 848-7275
FAX: -- Carmel
Email: info@carmelclayparks.com Clay
Parks&Recreation
NATIONAL GOLD IWEDAL WINNER
LESLIE BONACKER AND ACCREDITED AGENCY
5860 HORNBEAN CT
CARMEL, IN 46033
Prepared By: bennyj
Customer ID: 24609
Primary phone: (317) 695-6925, Secondary phone: (317) 223-1309
Refund Summary
Check: ($444.00) Check #
Total Received: ($444.00) Total Refund: ($444.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Leslie Bonacker Refund balance Refund Each 1.00 $444.00 ($444.00)
5860 Horn bean Ct Action: Refund BalanceFAUG
__ „balance
Carmel,IN 46033 ,y
Primary phone:(317)695-6925
Email:
19 2015
Email:
Ibonacker Chotmail.com
ID: 24609 - - --1 Total Charges ($444.00)
Total Payments ($444.00)
Balance $0
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littps:HactiN,eiietO23.active.com/carmelciayparks/servlet/pi-ocessReceiptPaymeiit.sdi 8/17/2015
i
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.
Bonacker, Leslie Terms
5860 Hornbean Ct Date Due
Carmel, IN 46033
Invoice Invoice Description
or note attached invoice(s) or bill(s)) Amount
Date Number ( 444.00
8117115 2000032003 Refund $
Total $ 444.00
I 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.
Bonacker, Leslie Allowed 20
5860 Hornbean Ct
Carmel, IN 46033
In Sum of$
$ 444.00
ON ACCOUNT OF APPROPRIATION FOR _
108 -ESE _
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
Dept#
1081-7 2000032003 4358400 $ 444.00 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
August 20, 2015
Signature
$ 444.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund