259384 06/10/16 i
CITY OF CARMEL, INDIANA VENDOR: 370666
.:
ONE CIVIC SQUARE STACY EATON CHECK AMOUNT: $*******121.50*
CARMEL, INDIANA 46032 12582 GLADECREST DRIVE CHECK NUMBER: 259384
CARMEL IN 46033 CHECK DATE: 06/10/16.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000933003 121.50 REFUNDS AWARDS & INDE
i
Voucher No. Warrant No.
Eaton, Stacy Allowed 20
12582 Gladecrest Drive
Carmel, IN 46033
In Sum of$
$ 121.50
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-11 2000933003 4358400 $ 121.50 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
– – - — — -- ___materials_oL services itemized thereon for _
which charge is made were ordered and
received except
June 3, 2016
Signature
$ 121.50 Business Services Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2000933.003 Page 1 of 1
JUN - 3 2016
Monon Community Center Eas h' `'
rVr #
x200093-3.003L-::W
Building — �M'ay_25k2Q1612;3a7PM.
1235 Central Park Dr. East •–=
Carmel, IN 46032 j
Phone: (317) 848-7275
FAX: -- Carl 11e. 1 * C ay
Email: info@carmelclayparks.com
r Fks&Re �ea- ion
NATIONAL GOLD MEDAL WINNER
C ATO N --
2 :2 GLADECRES,-QRIVE
AiD ACCREDITED
�CARMELF-IN96A,33: i
Prepared By: bennyj
Customer ID: 23853
Primary phone: (317) 374-7372, Secondary phone: (317) 590-6467
Refund Summary
hec—k " ' 121 S,Qj) Check #
Total Received: ($121.50) Total Refund: ($121.50)
Transactions
Customer Description Item Unit Qty Fee Charge
Seth Eaton Refund balance Refund Each 1.00 $121.50 ($121.50)
12582 Gladecrest Drive Action: Refund Balance balance
Carmel,IN 46033
Primary phone:(317)374-
7372
Email:nickleaton@yahoo.com
ID:23854
Total Charges ($121.50)
Total Payments ($121.50)
Balance $0
I
I
i
• i
https://anprod.active.com/cannelclayparks/servlet/ShowReceipt.sdi?receiptheader id=2385... 6/3/2016