HomeMy WebLinkAbout250575 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 369958
® ONE CIVIC SQUARE SAURABH ARORA CHECK AMOUNT: $````****14.00`
f ;=4 CARMEL, INDIANA 46032 13424 GOLDEN GATE W CHECK NUMBER: 250575
9�lON E° CARMEL IN 46074 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000097006 14.00 REFUNDS AWARDS & INDE
Receipt #2000097.006 Page I of I
09 2015
Administrative Offices B OCT7Y.- Voucher #2000097.006
1411 E. 116th Street - Oct 7, 2015 11:43 AM
Carmel, IN 46032
Phone: (317) 843-3875
FAX: rl
Email: info@carmelclayparks.com
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SAURABH ARORA
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13424 GOLDEN GATE DR
W
CARMEL, IN 46074
Prepared By: leahw
Customer ID: 23683
Primary phone: (317) 332-5555, Secondary phone: (317) 332-1458
Refund Summary
Check: ($14.00) Check #
Total Received: ($14.00) Total Refund: ($14,00)
Transactions
Customer Description item Unit Qty Fee Charge
Inayat Arora Learn to Swim Level 4- Swim Lessons #253109-07 Activity Fee Each 1.00 $59,00 ($59.00)
13424 Golden gate dr W Action;T,Iansfer O:;[
Cannel,IN 46074 Withdrawal Date: Oct 7, 2015
Primary phone; (317)332-
5555 Meets: From October 10, 2015 to October 31, 2015
Email: Each Saturday from Sam to 8:55am
bhavinajaioi,a@giiiaii.corn Location: Puol i at
ID: 23685 (--o:'r':7-!-,jrtLy VVI—,L€>udc::Ic
Inayat Arora Learn to Swim Level 4- Swim Lessons ;1253109-12 Activity Fee Per Seat 1.00 $45.00 545.00
13424 Golden gate dr W Action:Tr'nsf(!r ::i
Carmel,IN 46074 Enrollment Effective Date: Oct 7, 201.5
Niniary phone: (317)332-
5555 Meets: From November 7, 2015 to November 21.,
Email: 2015
lahawnajafora@agmail.com Each Saturday from 11am to 11:55am
ID:23685 Location: La,.,Pool r at
monon community center West 1301C ng
Total Charges ($14.00)
Total Payments ($14.00)
Balance $0
Activity Waiver c,q�. /C). q 3S�Li Cc,
Waiver for:Inayat Arora
lol-'bs wuaotA cd
Activity Waiver & Disclaimer
Waiver Signed by:Saurabh Arora on Oct 7, 2015
https://activenet02-').active.coiii-/cariiielclayparks/servlet/processRecelptPayiiient.sdi 10/7/2015
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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.
Arora, Saurabh Terms
13424 Golden Gate Dr W Date Due
Carmel, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/15 2000097006 Refund $ 14.00
Total $ 14.00
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
\1
Voucher No. Warrant No.
Arora, Saurabh Allowed 20
13424 Golden Gate Dr W
Carmel, IN 46074
In Sum of$
$ 14.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-10 2000097006 4358400 $ 14.00 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 12, 2015 .
Signature
$ 14.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund