HomeMy WebLinkAbout259825 06/16/16 (?1��C�A�ff
,., CITY OF CARMEL, INDIANA VENDOR: 370690
® �I ONE CIVIC SQUARE JACOB WILLIAMS CHECK AMOUNT: $**"".**"91.00*
s, ?� CARMEL, INDIANA 46032 144 ASPEN WAY CHECK NUMBER: 259825
°M�...._� CARMEL IN 46032 CHECK DATE: 06/16/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000263006 91.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Williams, Jacob Allowed 20
144 Aspen Way
Carmel, IN 46032
In Sum of$
$ 91.00
ON ACCOUNT OF APPROPRIATION FOR
109 - MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-35 2000263006 4358400 $ 91.00 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
June 9, 2016
Signature
$ 91.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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Administrative Offices MdUt --' '002°63:006
1411 E. 116th Street J U IN' - 6 2016
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Carmel, IN 46032
Phone: (317) 843-3875
FAX: --
Email: info@carmeiclayparks.com caj III 1 0 clay
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NATIONAL GOLD MEDAL WINNER
144�ASP,EN„WAY;
CAI Et , zi �6o 2_ AND ACCREDITED A E N'C1(
Prepared By: jordanh
Customer ID: 47211
Primary phone: (708) 261-5712, Secondary phone: (501) 606-1414
Refund Summary
Check: ($g1.00)__Check-. .... 1�
Total Received: ($91.00) Total Refund: ($91.00)
Transactions
Customer Description Item Unit Qty Flee Charge
Lorelai Williams Castles,Knights and Dragons in Clay#166042-01 Activity Each 1.00 $91.00_ ($91.00)
144 Aspen Way Action:Withdraw Fee
Carmel,IN 46032 Withdrawal Date:Jun 3,2016
Primary phone: (708)261-
5712 Meets: From June 7,2016 to June 28,2016
Email: -- Each Tuesday from 6pm to 7pm
ID:47212 Location:
Party Room A at Morton Community Center West Building
Total Charges ($91.00)
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Balance $0
_ 10% - 35- (135$�rce