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HomeMy WebLinkAbout253833 01/26/16 `� -4,\�- CITY OF CARMEL, INDIANA VENDOR: 370256 q: } ONE CIVIC SQUARE BRANDIE BOHNEY CHECK AMOUNT: $*******237.00* �?a CARMEL, INDIANA 46032 4440 WELLINGTON COURT CHECK NUMBER: 253833 M,�ioN�°' CARMEL IN 46033 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 2000142006 237.00 REFUNDS AWARDS & INDE Receipt#2000142.006 Page 1 of 2 a .. JAN 19 2016 ..��a....—,4.u. r �� �. � Administrative Offices .�1 ;�-,� Q � 6' Y: a�i�X.4";2QkZ�6 3 21WN 1411 E. 116th Street (Duplicate Receip Carmel, IN 46032 Phone: (317) 843-3875 FAX: -- Email: Cal Mel * info@carmelclayparks.com NATIONALParkmS&ReUCation WINNER 444Q WiI� Bd,HiNEaY Y GTaN Prepared By: mattw Customer ID: 9158 Primary phone: (317) 564-4544, Secondary phone: -- e und -efund Summary Ch, ers"kw� 5 4 0$23<7r0.0) Check# Total Received: ($237.00) Total Refund: ($237.00) Transactions Customer Description Item Unit Qty Fee Charge Brandie Bohney Escape Pass-Corporate Household Monthly Membership Each 1.00 $79.00 ($79.00) 4440 Wellington Court Action: Membership Cancel Fee Carmel,IN 46033 Expires: Dec 15, 2015 Primary phone:(317)564- 10 Passes Sold 4544 Pass#000008261: Bill Bohney Email: Pass#000008262: Brandle Bohney bbohney@ccs,k12.in,us Pass#000008263: Emma Bohney ID:9158 Pass#000008264:Georgia Bohney Thanks for your purchase!This pass will automatically renew each month, until cancellation request is received.Cancellation request must be received 7 days prior to billing date. Brandie Bohney Escape Pass-Corporate Household Monthly Membership Each 1.00 $79.00 ($79.00) 4440 Wellington Court Action: Membership Refund Fee Carmel,IN 46033 Expires: Dec 15,2015 Primary phone:(317)564- 10 Passes Sold 4544 _ Pass#000008261: Bill Bohney Email: Pass #000008262: Brandie Bohney bbohney@ccs.k12.in.us Pass#000008263: Emma Bohney ID:9158 Pass # 000008264:Georgia Bohney Thanks for your purchase!This pass will automatically renew each month,until cancellation request is received.Cancellation request must be received 7 days prior to billing date. Brandie Bohney Escape Pass-Corporate Household Monthly Membership Each 1.00 $79.00 ($79.00) 4440 wellington Court Action:Membership Refund Fee Carmel,IN 46033 Expires: Nov 15, 2015 Primary phone:(317)564- 10 Passes Sold 4544 Pass#000008261: Bill Bohney Email: Pass # 000008262: Brandle Bohney bbohney@ccs.k12.1n.us Pass #000008263: Emma Bohney ID:9158 Pass#000008264: Georgia Bohney Thanks for your purchase!This pass will automatically renew each month,until cancellation request is received. Cancellation request must be received 7 days prior to billing date. _ L 099 z- 435 8140 O ota10ha�g� https://activenet02 tive.com/carmelclayparks/servlet/processReceiptPayment.sdi 1/14/2016 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. Bohney, Brandie Terms 4440 Wellington Court Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/14/16 2000142006 Refund $ 237.00 Total $ 237.00 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 I Voucher No. Warrant No. Bohney, Brandie Allowed 20 4440 Wellington Court Carmel, IN 46033 In Sum of$ $ 237.00 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC r PO# or Board Members Deptept# INVOICE NO. ACCT#/TITLE AMOUNT i 1092 2000142006 4358400 $ 237.00 I hereby certify that the attached invoice(s), or Oill(s)is(are)true and correct and that the I aterials or services itemized thereon for which charge is made were ordered and received except January 21, 2016 Signature $ 237.00 i Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i