HomeMy WebLinkAbout253736 01/22/16 0CITY OF CARMEL, INDIANA VENDOR: 370242
J` }• ONE CIVIC SQUARE LIZ PIZARRO CHECK AMOUNT: $M M M M/MMM 35.00'
:� _� CARMEL, INDIANA 46032 10899 SANTA ANITA CT CHECK NUMBER: 253736
+.;;troN� INDIANAPOLIS IN 46280 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000205004 35.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Pizarro, Liz jAllowed 20
10899 Santa Anita Court i
Indianapolis, IN 46280
In Sum of$
I
$ 35.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000205004 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
i
January 18, 2016
i
Signature
$ 35.00 ± Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
Receipt 42000205.004 Page 1 of 1
JAN 18 2016
I
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Monon Community Center We ty� ___ -- VOia�`C'I1YE'1°� �,Q® OiSQ
Building -.tiu3,r �w f�ti eF��, t
Jan.4 20 6�9�r13 P,M
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carmel
Email: info@carmelclayparks.com Parks&Recreation
NATIONAL GOLD MEDAL WINNER
zgy PLxZARROo ;
T .�� AND ACCREDITED AGENCY
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IIDT"A�V'AP'D�LZ�S;�'I,N`�46 280
Prepared By: prestons
Customer ID: 5930
Primary phone: (317) 863-0793, Secondary phone: --
Refund Summary
Check: ($35.00) Check #
Total Received: ($35.00) Total Refund: ($35.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Liz Pizarro Escape Pass- Household Monthly Membership Each 1.00 $35.00 ($35.00)
10899 Santa Anita court Action: Membership Refund Fee
Indianapolis,IN 46280 Expires: Jan 14, 2016
Primary phone:(317)863- 15 Passes Sold
0793 Pass# 130039720:Jemeema Alonso
Email:Ikpizarro@hotmail.com Pass# 130039635: Elizabeth Cisnamos
ID:5930 Pass # 130039824: Christian Leon
Pass# 130039777: Josue Leon
Pass#000013459: Edson Pizarro
Pass# 130039906: Liz Pizarro
Pass# 000013461: Patricia Revulcaba
Pass# 130039907: Hans Pizarro
Pass# 130039779: Elena Pacheco
Pass# 130039721: Helen Pizarro
Pass# 130039750: Rachel Pizarro
Pass# 130039905: Heidi Pizarro
Pass# 130039781: Karen Huaraca
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.
Total Charges ($35.00)
MAW
Balance $0
Federal Tax ID # 35-6000972
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https:Hactivenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 1/11/2016