249079 08/26/15 ��p"' CITY OF CARMEL, INDIANA VENDOR: 369798
® ONE CIVIC SQUARE CHELSEA WHEELER CHECK AMOUNT: $"""`*76.00`
s ?� CARMEL, INDIANA 46032 2511 SOLANA WAY CHECK NUMBER: 249079
�y,�_oN, � FISHERS IN 46037 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000105004 76.00 REFUNDS AWARDS & INDE
Receipt#2000105.004Fl-
Monon
Page 1 of 1
015
Community Center West VOUCheI' #2000105.004
Building Aug 18, 2015 3:11 PM
1195 Central Park Dr. West (Duplicate Receipt)
Carmel, IN 46032
Phone: (317) 848-7275
FAX: --
Email: info@carmelclayparks.com Carle-wi-tiel o Clay
Parks&R
CHELSEA WHEELER NATIONAL GOLD MEDAL WINNER
2511 SOLANA WAY AND ACCRE®OTE® AGENCY
FISHERS, IN 46037
Prepared By: mandys
Customer ID: 7097
Primary phone: (317) 595-9947, Secondary phone: --
Refund Summary
ck: ($76.00) Check #
Total Received: ($76.00) Total Refund: ($76.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Chelsea wheeler Refund balance Refund Each 1.00 $76.00 ($76.00)
2511 Solana way Action: Refund Balance balance
Fishers,IN 46037
Primary phone:(317)595-
9947
Email:ce08@sbcglobal.net
ID: 7097
Total Charges ($76.00)
Total Payments ($76.00)
Balance $0
https://activenet023.active.com/carmelclayparks/servlet/showReceipt.sdi;j sessionid=+JIW£.. 8/18/2015
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.
Wheeler, Chelsea Terms
2511 Solana Way
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8118115 2000105004 Refund $ 76.00
Total $ 76.00
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.
Wheeler, Chelsea Allowed 20
2511 Solana Way
Fishers, IN 46037
In Sum of$
$ 76.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#orBoard Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1092 2000105004 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
August 24, 2015
Signature
$ 76.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund