HomeMy WebLinkAbout250350 10/07/15I
CITY OF CARMEL, INDIANA VENDOR: 369941
(9-
ONE CIVIC SQUARE SERINA MERGULHAO CHECK AMOUNT: $********80.00*
CARMEL, INDIANA 46032 2259 E 151ST ST N3 CHECK NUMBER: 250350
CARMEL IN 46033 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000151003 80.00 REFUNDS AWARDS & INDE
Receipt#2000151.003 �`` %t� Page 1 of 1
B'Y: _
OCT - 1 2015
Monon Community Center East ~� '_= Voucher #2000151.003
Building Sep 30, 2015 11:21 AM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (314) 848-7275 Carmel
Clay
FAX: --
Email: info@carmelclayparks.com
Parks& ecreation
NATIONAL GBL® MEDAL WINNER
SERINA MERGULHAO AND ACCREDITED AGENCY
2259 E. 151ST. ST. #3
CARMEL, IN 46033
Prepared By: jenniferb
Customer ID: 18224
Primary phone: (317) 435-7026, Secondary phone: (317) 435-7025
Refund Summary
Check: ($80.00) Check #
Total Received: ($80.00) Total Refund: ($80.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Serina mergulhao Refund balance Refund Each 1.00 $80.00 ($80.00)
222 Arbor dr Action: Refund Balance balance
Carmel,IN 46033
Primary phone:(317)435-
7026
Email:sgage200l@gmail.com
ID: 18224
Total Charges ($80.00)
Total Payments ($80.00)
Balance $0
I l �� K400
https:Hactivenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 9/30/2015
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.
Mergulhao, Serina Terms
2259 E 151st St# 3 Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/30/15 2000151003 Refund $ 80.00
Total $ 80.00
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
Voucher No. Warrant No.
Mergulhao, Serina Allowed 20
2259 E 151st St#3
Carmel, IN 46033
In Sum of$
$ 80.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or
Dept#
E1081-1
INVOICNO. ACCT#/TITL AMOUNT Board Members
2000151003 4358400 $ 80.00 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
I
October 1, 2015
Signature
$ $0.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund