249023 08/26/15 ,_CAA .
'� CITY OF CARMEL, INDIANA VENDOR: 369796
® i'r. ONE CIVIC SQUARE ALYSSA SCOTTEN CHECK AMOUNT: $**....*909.50*
CARMEL, INDIANA 46032 13315 BRITTON PARK ROAD CHECK NUMBER: 249023
ay�i,oN,�o, FISHERS IN 48038 CHECK DATE: 08126115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1095 4358400 909.50 REFUNDS AWARDS & INDE
Receipt 42000021.003 Page 1 of 1
LBY AUG 1 3 2015
Monon Community Center east -- \/®uC11e9' #2000021.003
Building Aug 13, 2015 11:27 AM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (314) 848-7275 ay
FAX: -- Car 11 le' C1
Email: info@carmelclayparks.com YP Parks&Recreation
NATIONAL GOLD MEDAL WINNER
ALYSSASCOTTEN AND ACCREDITED AGENCY
13315 BRITTON PARK RD
FISHERS, IN 46038
Prepared By: amandab
Customer ID: 13827
Primary phone: (317) 840-8451, Secondary phone: --
Refund Summary
Check: ($90 0) Check #
Total Received: ($90 0 Total Refund: ($909.50)
Transactions
Customer Description Item Unit Qty Fee Charge
Alyssa Scotten Credit for G. Scotten Talent Center#722-Rental Rental Fee Each 1.00 $850.00 ($850.00)
13315 Britton Park Rd Fee
Fishers,Iry 46038 Action: Refund Permit Charges
Primary phone:(317)840- Location: Waterpark(Whole)at Monon Cmty Ctr
8451 Waterpark
Email:-- Orig Receipt#1000387.003
ID: 13827 Permit# 722
For:G.Scotten Talent
Center
Subtotal ($850.00)
IN Sales Tax added ($59.50)
Total Charges ($909.50)
Total Payments ($909.50)
Balance $0
� oq�3.435gy0�
https://activenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 8/13/2015
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.
Scotten, Alyssa Terms
13315 Britton Park Rd Date Due
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/13/15 2000021003 Refund $ 909.50
Total $ 909.50
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Scotten, Alyssa Allowed 20
13315 Britton Park Rd
Fishers, IN 46038
In Sum of$
$ 909.50
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1095-3 2000021003 4358400 $ 909.50 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
August 20, 2015
Signature
$ 909.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund