HomeMy WebLinkAbout259800 06/16/16 ou CITY OF CARMEL, INDIANA VENDOR: 370692
CHECK AMOUNT: $********40.00*
ONE CIVIC SQUARE DARKEN MANNCARMEL, INDIANA 46032 10858 BELMONT CIRCLE CHECK NUMBER: 259800
INDIANAPOLIS IN 46280 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000284004 40.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Mann, Darren Allowed 20
10858 Belmont Circle
Indianapolis, IN 46280
In Sum of$
$ 40.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000284004 4358400 $ 40.00 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
$ 40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2000284.004 Page 1 of 1
Monon Community Center West JUN - 6 2016 Vo10' _a#20:002.84.;004--
Building >,, r Jun 5;`2016 10 Q:OJAM
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275 Cipy
FAX: --
Email: info@carmelclayparks.com
Parks&Recreation
DaRREN M'ANllur- � R TION GOLD ASLWINNER
a� t
108L58rBELM�ONT CIRCLE; ' N D ACCREDITED AG C Y
INJ .61 -A OLIS.;I<N 4;6280"x'
ti;y
Prepared By: mandys
Customer ID: 4704
Primary phone: (574) 870-3784, Secondary phone: (574) 870-3784
Refund Summary
Check: ($40.00) Check #
Total Received: ($40.00) Total Refund: ($40.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Darren Mann Escape Pass-Adult Monthly Membership Each 1.00 $40.00 ($40.00)
10858 Belmont Circle Action: Membership Cancel Fee
Indianapolis,IN 46280 Expires:Jun 5, 2016
Primary phone:(574)870- Pass# 130000933: Darren Mann
3784 Thanks for your purchase!This pass will
Email: automatically renew each month, until cancellation
the_d_manl@yahoo.com request is received.Cancellation request must be
ID:4704 received 7 days prior to billing date.
al Charges_($40 00)m�
tofal�=Payments--($40:00)
Balance $0
Federal Tax ID # 35-6000972
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https://anprod.active.com/carmelclayparks/servlet/processRece' tPayment.sdi 6/5/2016