HomeMy WebLinkAbout249642 09/23/15 CITY OF CARMEL, INDIANA VENDOR: 369878
® ONE CIVIC SQUARE EMMA CLARK CHECK AMOUNT: $««......25.00•
:. CARMEL, INDIANA 46032 49 W 11TH ST CHECK NUMBER: 249642
•M�IUNCARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 25.00 REFUNDS AWARDS & INDE
Receipt 92000072.006 Page 1 of 1
715
Administrative Offices PrVoucher ##2000072.006
1411 E. 116th Street Sep 4, 2015 5:41 PM
Carmel, IN 46032
Phone: (317) 843-3875
FAX: -- Carmel
Email: info@carmelclayparks.com o
Parks&Recreatson
NATIONAL GOLD MEDAL WINNER
EMMA CLARK AND ACCREDITED AGENCY
49 W 11TH ST
CARMEL, IN 46032
Prepared By: michelley
Customer ID: 15631
Primary phone: (727) 386-0227, Secondary phone: (727) 386-0227
Refund Summary
Check: ($25.00) Check #
Total Received: ($25.00) Total Refund: ($25.00)
Transactions
Customer Description Item Unit Qty Fee Charge
EmmaClark Music and Movement#258001-01 Activity Fee Each 1.00 $25.00 ($25.00)
49 w 11th St Action: Withdraw
Carmel,IN 46032 Withdrawal Date: Sep 4, 2015
Primary phone: (727)386-
0227 Meets: From September 9, 2015 to September 30,
Email: -- 2015
ID: 15631 Each Wednesday from Spm to 5:45pm
Except the following dates:
Wednesday,September 9, 2015
Plus the following dates:
Wednesday, September 9, 2015 from Spm
to 5:45pm
Program Room A at
Monon Community Center East Building
Location: Multipurpose Room East A at
Monon Community Center East Building
Total Charges ($25.00)
Lcl VT-� Total Payments ($25.00)
Balance $0
3 5"-0 c, T
https://activenet023.active.coni/carmeIcIayparks/serylet/processReceiptPayment.sdi 9/4/2015
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.
Clark, Emma Terms
49 W 11th St Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/4/15 2000072006 Refund $ 25.00
Total $ 25.00
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
20_
Clerk-Treasurer
I
Voucher No. Warrant No.
Clark, Emma Allowed 20
49 W 11th St
Carmel, IN 46032
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2000072006 4358400 $ 25.00 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
September 17, 2015
Signature
$ 25.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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