HomeMy WebLinkAbout259401 06/10/16 CITY OF CARMEL, INDIANA VENDOR: 370665
CHECK AMOUNT: $*******123.00'
ONE CIVIC SQUARE JESSICA KLUETZ
CARMEL, INDIANA 46032 328 SPRING MILL CT CHECK NUMBER: 259401
9y�TON _ CARMEL IN 46032 CHECK DATE: 06/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000256006 123.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Kluetz, Jessica Allowed 20
328 Spring Mill Ct
Carmel, IN 46032
In Sum of$
$ 123.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-35 2000256006 4358400 $ 123.00 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 3, 2016
Signature
$ 123.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Administrative Offices Vouch*i"S_ � g
1411 E. 116th Street ���Q02S6 Q,Q6,,
} May31 2016 944;�M 4 .
Carmel, IN 46032
Phone: .(317) 843=3875
FAX: --
Email: info@carmelclayparks.com
Carm.e�l
Parks &.Recreabon, .
NATIONAL GOLD MEDAL WINNER
X328 SPRING MILL CT
�nMEL;,I'N`Y46032 s. ACCREDITED.
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Prepared By: jordanh
Customer ID: 41188
Primary phone: (773) 724-1637, Secondary phone: (773) 724-1637
114und Summary
co
Total Received: ($123.00) Total Refund: ($123.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Carson Kluetz UI'Kickers: Hoppers#165017-0I
Activity Each 1.00. $123.00 ($123.00)
328 Spring Mill Ct Action:Withdraw Fee
Carmel,IN 46032 Withdrawal Date:May 31,2016
Primary phone: (773)724-
1637 Meets: From May 31,2016 to August 2,2016
Email: -- Each Tuesday from 0:30am to 1020am
ID:41191 Location:West Park Field 2 at West Park
C fr_6_
Total Payments ($123.00)
Balance $0
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MAY 3 1 2016
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