HomeMy WebLinkAbout250155 10/07/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 369931
ONE CIVIC SQUARE STEPH CARI CHECK AMOUNT: S""""""""25.00"
CARMEL, INDIANA 46032 6528 HILLSIDE CHECK NUMBER: 250155
INDIANAPOLIS IN 46220 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000147004 25.00 REFUNDS AWARDS & INDE
Receipt #2000147.004 Page I of I
Monon Community Center West Voucher #2000147.004
Building Sep 28, 2015 10:53 AM
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX:
Email: info@carmelclayparks.com Parks& Recreation
NATIONAL GOLD MEDAL WINNER
STEPH CARI
6528 HILLSIDE AND ACS WTD AGENCY
INDIANAPOLIS, IN 46220
Prepared By: shaunal
Customer ID: 27647
Primary phone: (317) 946-4644, Secondary phone: (317) 946-4644
Refund Summary
. ............ ..............
Check: ($25.00) Check #
Total Received: ($25.00) Total Refund: ($25.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Steph Cari Refund balance Refund Each 1.00 $25.00 ($25.00)
6528 Hillside Action: Refund Balance balance
Indianapolis,IN 46220
Primary phone:(317)946-
4644
Email:
stephchapelcari-,'d)gmail.corn
ID:27647
SEP 2 2015 Total Charges ($25.00)
BY: Total Payments ($25.00)
Balance $0
01
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https://activenet02-').active.com/carmelclayparks/servlet/processReceiptPayment.sdi 9/28/2015
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.
Cari, Steph Terms
6528 Hillside Date Due
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/28/15 2000147004 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
Voucher No. Warrant No.
Cari, Steph Allowed 20
6528 Hillside
Indianapolis, IN 46220
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-70 2000147004 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
October 1, 2015
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund