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HomeMy WebLinkAbout251514 11/18/15 �,GAA . �' *f CITY OF CARMEL, INDIANA VENDOR: 357602 d cl ONE CIVIC SQUARE LINDSAY DUDECK CHECK AMOUNT: $''"""25.00" :. Q CARMEL, INDIANA 46032 10829 W LAKESHORE DRIVE CHECK NUMBER: 251514 ty,_uN.EO? CARMEL IN 46033 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 25.00 REFUNDS AWARDS & INDE Receipt #2000247.003 Page 1 of 2 NOV - 6 2015 Monon Community Center East BY' --- Voucher #2000247.003 Building Nov 5, 2015 1:01 PM 1235 Central Park Dr. East Carmel, IN 46032 Phone: (314) 848-7275 FAX: -- Car Clay Email: info@carmelclayparks.com �, ParkS&Recreation NATIONAL GOLD MEDAL WINNER LINDSAY DUDECK AND ACCREDITED AGENCY 10829 W LAKESHORE DRIVE CARMEL, IN 46033 Prepared By: amandaj Customer ID: 22788 Primary phone: (317) 416-8533, Secondary phone: (317) 571-3474x104 Refund Summary Check: ($25.00) Check# Total Received: ($25.00) Total Refund: ($25.00) Transactions Customer Description Item Unit Qty Fee Charge Quinn Dudeck Preschool Tumbling #255034-02 Activity Fee Each 1.00 $50.00 ($50.00) 10829 W Lakeshore Drive Action: Adjust for Modification Carmel,IN 46033 Primary phone:(317)416- Meets: From October 14, 2015 to November 11, 8533 2015 Email: Each Wednesday from 5:15pm to 5:45pm lindsaydudeck@gmail.com Except the following dates: ID:22789 Wednesday,October 28, 2015 Location: Gymnasium C at Monon Community Center West Building Quinn Dudeck Preschool Tumbling #255034-02 Activity Fee Each 1.00 $25.00 $25.00 10829 W Lakeshore Drive Action: Modification Carmel,IN 46033 Primary phone:(317)416- Meets: From October 14, 2015 to November 11, 8533 2015 Email: Each Wednesday from 5:15pm to 5:45pm lindsaydudeck@gmaii.com Except the following dates: ID:22789 Wednesday,October 28, 2015 Location: Gymnasium C at Monon Community Center West Building Total Charges ($25.00) Total Payments ($25.00) Balance $0 Activity Waiver / Waiver for:Quinn Dudeck Activity Waiver & Disclaimer https:Hactivenet023.active.com/carmeIcIayparks/servlet/processReceiptPayment.sdi 11/5/2015 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. Dudeck, Lindsay Terms 10829 W Lakeshore Drive Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/5115 2000247003 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. warrant No. Dudeck, Lindsay 10829 w Lakeshore Drive Allowed 20 Carmel, IN 46033 In Sum of$ $ 25.00 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or Dept# INVOICE NO. ACCT#/TITL AMOUNT Board Members 1096-32 2000247003 4358400 $ 25.00 1 hereby certify that the attached invoices) 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 November 6, 2015 $ 25.00 Signature Cost distribution ledger classification if Accounts Payable Coordinator claim paid motor vehicle highway fund Title