HomeMy WebLinkAbout253802 01/26/16 0�/ ,�- CITY OF CARMEL, INDIANA VENDOR; 370257
s ONE CIVIC SQUARE SHARLA FAUST CHECK AMOUNT: $********30.00*
CARMEL, INDIANA 46032 11451,SENIA LANE CHECK NUMBER: 253802
f+.y��TON�°? CARMEL IN 46032 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000145006 30.00 REFUNDS AWARDS & INDE
Receipt#2000145.006 _- --_ Page 1 of 1
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JAN 2 0 :. ;16
Administrative Offices ®/®lf Effide GGO1ASM06-
1411 E. 116th Street
Carmel, IN 46032
Phone: (317) 843-3875
FAX: - Carmele (.�,Iay
-
Email: info@carmelclayparks.com
Parks&Recrea-Lion,
NATIONAL GOLD MEDAL WINNER
SHARLA-FAUSTvl
OWWA ITE
115�1�SENIA LN
CAR EL I #46:432,
Prepared By: mattw
Customer.ID: 1209
Primary phone: (317) 582-1413, Secondary phone: --
Refund Summary — _
Check: ($30.00) Check #
Total Received: ($30.00) Total-Refund: ($30.00)
Transactions
_.........__.W..............._.----.........__............
_._._...____ __........_..._____._.._..._..._....___.._—._._.__..._.__,-
Customer Description Item Unit Qty Fee Charge
sharla Faust Locker Room: Fitness-Womens, Locker: 107, From: Locker Each 1.00 $28.04 ($28.04).
11451 Sema Ln Jul 5, 2015 2:00 PM To:Jul 5, 2016 2:00 PM Rental Fee
Carmel,IN 46032 Action: Locker Rental Refund
Primary phone:(317)582-
1413
Email:sfaust3@earthlink.net
ID:1209
Subtotal ($28.04)
IN Sales Tax included ($1.96)
Total Charges ($30.00)
rmt�lo�ay,ment�;�($.�o oo)
Balance $0
ell
https:Hactivenet023.active.com/carmelelayparks/servlet/processReceiptPayment.sdi 1/16/2016
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.
Faust, Sharla I Terms
11451 Senia Ln Date Due
Carmel, IN 46032
Invoice Invoice Description-
Date Number (or note attached invoices)or bill(s)) Amount
1/16/16 2000145006 Refund $ 30.00
Total $ 30.00
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.
Faust, Sharla Allowed 20
11451 Senia Ln
Carmel, IN 46032
!In Sum of$
$ 30.00
ON ACCOUNT OF APPROPRIATION FOR
109- MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept# I
I
1096-22 2000145006 4358400 $ 30.00 i l 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
i
January 21, 2016
Signature
Is Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I