258743 05/18/16 0 CITY OF CARMEL, INDIANA VENDOR: 370629
ONE CIVIC SQUARE KE MIN CHECK AMOUNT: $*******550.00*
CARMEL, INDIANA 46032 11989 SPARROW HAWK PLACE CHECK NUMBER: 258743
ZIONSVILLE IN CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 2000817003 550.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Min, Ke Allowed 20
11989 Sparrow Hawk Place
Zionsville, IN 46077
In Sum of$
$ 550.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1082-15 2000817003 4358400 $ 550.00 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
May 17, 2016
Signature
$ 550.00 Business Services Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.
Min, Ke Terms
11989 Sparrow Hawk Place Date Due
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/6/16 2000817003 Refund $ 550.00
Total Is 550.00
I 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
5/6/2016 Receipt#2000817.003
Nlonon Community Center East Building 003WA
1235 Central Park Dr. Eas -
Carmel, IN 46032 CFJV ED
FAX: -- aPhone: (317) 848-7275 MAY 0-9 2016
if �armel I
Email: info@carmeldaypa Vicom ,
tioPalrks&Kecrea
E
NATIONAL GOLD MEDAL WINNER
11�989SPRRC3WHAIN�K PI ,h�E: ACCREDITEDND
aI,R SUILEE.,IN
Prepared By: bennyj
Customer ID: 33891
Primary phone: (412) 216-2111, Secondary phone: (412) 216-2895
Refund Sit
n,-es ,}..S'� —7
Chec�C (F$550 OU)j Checkxp
Total Receive Total Refund: ($550.00)
raati n
Customer Dead;i ptdon Item Unit Qty Fee Charge
e
Ke Min Refund balance Refund Each 1.00 $550.00 ($550.00)
11989 Sparrow Hawk Place Action: Refund Balance balance
Zionsville,IN 46077
Primary phone: (412) 216-
2111
Email: minkechina@gmaii.com
ID: 33891
/1O TotalwyChargp�es ($550�.(0�(0})
V'0 To�`fia�l P{��rn��e■.ts (y.$55V UV)
`1 Balance $0 % x
V
I�J
https://anprod.active.com/carmelclayparks/servlet/processAdm i nLogi n.sdi;jsessionid=4kcdopaco57216mdorggqzh7g