250753 10/21/15 4
10/2/2015 Receipt#2000162.003
Monon Community Center East Building Voucher #2000162.003
1235 Central Park Dr. East Oct 2, 2015 10:04 AM
Carmel, IN 46032
Phone: (314) 848-7275
FAX: - & I C) lay
-
Email: info@carmelclayparks.com
ks&Recrle-ation
NATIONAL GOLD MEDAL WOHNER
MIRABELLE LEFF
PO BOX 4094 AND ACCREDOTED AGENCY
CARMEL, IN 46082
Prepared By: jordanh
Customer ID: 28782
Primary phone: (317) 218-3995, Secondary phone: --
Refund Summary _
Check: ($35.00) Check #
Total Received: ($35.00) Total Refund: ($35.00)
Transactions '
Customer Description Item Unit Qty Fee Charge
Noella Leff Apprentice Robotics: Robot Olympics #256019-01 Activity Fee Each 1.00 $35.00 ($35.00)
PO Box 4094 Action: Refund
Carmel,IN 46082
Primary phone: (317) 218- Meets: From October 1,2015 to October 29, 2015
3995 Each Thursday from 5:30pm to 6:45pm
Email: scottlev9@gmail.com Location: Program Room A at
ID: 28781 Monon Community Center East Building
Total Charges ($35.00)
Total Payments ($35.00)
Balance $0
lbq� ��-. X135 $yon
F0OCT '7 2015
https://activenetO23.active.com/carmelclayparks/seMeVprocessReceiptPayment.sdi 111
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.
Leff, Mirabelle Terms
P.O. Box 4094 Date Due
Carmel, IN 46082
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/2/15 2000162003 Refund $ 35.00
Total $ 35.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Leff, Mirabelle Allowed 20
P.O. Box 4094
Carmel, IN 46082
In Sum of$
$ 35.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 2000162003 4358400 $ 35.00 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 8, 2015
1P v
Signature
$ 35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund