HomeMy WebLinkAbout255645 02/26/16 y f�p�'F�
CITY OF CARMEL, INDIANA VENDOR: 370346
., CHECK AMOUNT: $*****'•'73.00'
ONE CIVIC SQUARE RUTH WILSON
:9� ,?� CARMEL, INDIANA 46032 9880 LAKEWOOD EAST DRIVE CHECK NUMBER: 255645
M�<Tp'N G�� INDIANAPOLIS IN 46280 CHECK DATE: 02/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000165006 48.00 REFUNDS AWARDS & INDE
1096 4358400 2000166006 25.00 REFUNDS AWARDS & INDE
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.
Wilson, Ruth Terms
9880 Lakewood East Drive Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/16 2000166006 Refund $ 25.00
2/11/16 2000165006 Refund $ 48.00
Total $ 73.00
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Wilson, Ruth Allowed 20
9880 Lakewood East Drive
Indianapolis, IN 46280
In Sum of$
$ 73.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-70 2000166006 4358400 $ 25.00 1 hereby certify that the attached,invoice(s), or
1096-70- 2000165006 4358400 $ 48.00 bills) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
i
February 18, 2016
i
Signature
$ 73.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
2/11/2016 Receipt#2000166.006
Administrative Offices Voucher2Q�0166.QTOY
1411 E. 116th Street
Feb .11
Carmel, IN 46032w - x
Phone: (317) 843-3875
FAX: --
Ar
Email: info@carmelclayparks.com
-Y
a r, sem , r ion
RUTH wIILSON NATIONAL GOLD {MEDAL WINNER
88Q: IAKEIN®®D._aEASIT DRNVE
I DIrANAPOI�s�r 46 sAND. ACCREDITED- A P L C Y
Prepared By: michelley
Customer ID: 3421
Primary phone: (317)' 575-9690, Secondary phone: -
Refund Summary
Total Received: ($25.00) Total Refund: ($25.00)
Transactions
Customer Description Xtem Unit Qty Fee Charge
Ruth Wilson - Adaptive Table Tennis,#368036-01 Activity Each 1.00 $25.60 ($25.00)
9880 Lakewood East Drive Action:Withdraw Fee
Indianapolis,IN 46280 Withdrawal Date:Jan 4,2016
Primary phone: (317)575-
9690 Meets: From January 12,2016 to January 26,2016
Email: -- Each Tuesday from 6:15pm to 7pm
ID: 3421 Location:
Total Charges ($25.00)
Tota.[ f�ayaments ( �zs.oar)
Balance $0
CEIV
FES 2016
c /
httpsJ/acbvenetO23.active.com/Carmelclayparks/servletprocessAdminLogin.sdi;jsessionid--GxeiBTagk4BafLY2¢1KWfivgTw 1/1
2/11/2016 Receipt 165M6
Administrative Offices Voucher2OkO"OI�6� `
1411 E. 116th Street 5:006
FLo—- 20-16-4.58-PM
Carmel, IN 46032 n y� ti ' '
Phone: (317) 843-3875
FAX: --
Email: info@carmelclayparks.com
Carm ,'� l Cla
t _OYL !
77- rarks
rin. .
uTH v�il>o N .,. NATIOAL GOLD. MEDAL 'INNER
9B,ON yLKEWOQDDRI�UEAST
I�NDTf NAPOL_iS�:I,N 6
AND, -ACCREDITED AQEI UY .
Prepared By: michelley
Customer ID: 34092
Primary phone: (248) 521-0518, Secondary phone: (248) 521-0518
Refund Summary
eck= n( -48 k482ec[ °#
,
Total Received: ($48.00) Total Refund: ($48.00)
Transactions
Customer Description Item Unit Qty Fee Charge
ruth wilson Adaptive Adult Cardio Dance#368045-01 Activity Each 1.00 $48.00 ($48.00)
9880 Lakewood drive east Action:Withdraw Fee
indianapolis,IN 46280 Withdrawal Date:Feb 11,2016
Primary phone:(248)521-
0518 Meets: From February 10,2016 to March 30,2016
Email: restoepker@aoLcom Each Wednesday from 6pm to 6:45pm
ID: 34092 Location: Multipurpose Room West at
Monon Community Center West Building
Total Charges ($48.00)
Tmta Payments ($48.00�)
�: .
E> V�.-
� 12 2016
� �) }� BY:
FEB-
httpsl/acfivenet023.active com/Carmelclayparks/serviet/processAdminLogin.sdi;jsessiorid=Gte[BTa*4BaiLY20-lKWfivgTw 1/1