HomeMy WebLinkAbout258727 05/18/16 a 'FAgy
CITY OF CARMEL, INDIANA VENDOR: 370627
® :I ONE CIVIC SQUARE DONNA HAMMOCK CHECK AMOUNT: $*******100.00*
CARMEL, INDIANA 46032 5890 HOLLOW OAK TRAIL CHECK NUMBER: 258727
CARMEL IN 46033 CHECK DATE: 05/18/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000250006 100.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Hammock, Donna Allowed 20
5890 Hollow Oak Trail
Carmel, IN 46033
In Sum of$
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2000250006 4358400 $ 100.00 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
1P
Signature
$ 100.00 Accounts Payable Coordinator
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.
Hammock, Donna Terms
5890 Hollow Oak Trail Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/10/16 2000250006 Refund $ 100.00
Total $ 100.00
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(102016 Reeipt _006
Administrative Offices -C(tE;CYa�#Z�'}or 75Q;p(f;6
1411 E. 116th Street 5
1Kay1Q X016"`5: 9 PNI
Carmel, IN 46032 - u>•r..�,_d:=P
Phone: (317) 843-3875
FAX: --
Email: info@carmelclayparks.com Carl
Parks&Kecreabon;
®ONNA HAMMOCKNATIONAL L E �. WINNER
--589 FOLLOW 0AK TRAIL
CARMEL, I V_46033' AND '
Prepared By: michelley MAY 11 2016
Customer ID: 40443
PrimaryLp hone: 317 581-8913 Secondary -
P ( ) ry Phone: (31
Refund Summary
Check: ($100.00) Check #
Total Received: ($100.00) Total Refund: ($100.00)
Transactions
customer Description Item Unit Qty Fee Charge
Kevin Miller Adaptive Private Swim Lessons#368060-01 Activity Each 1.00 $100.00 ($100.00)
5890 Hollow Oak Trail Action:Withdraw Fee
Carmel,IN 46033 Withdrawal Date: May 10,2016
Primacy phone: (317)581-
8913 Meets: From January 2,2016 to April 30,2016
Email:-- Each Monday from 9am to 7pm
ID:40444 Each Tuesday from 9am to 7pm
Each Wednesday from 9am to 7pm
Each Thursday from 9am to 7pm
Each Friday from 9am to 7pm
Each Saturday from 9am to 7pm
Location:
Total Charges ($100.00)
Total Paymeirts ( 0000)p
Balance0
r
IT
0 C( G 70
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