HomeMy WebLinkAbout260069 06/28/16 'F�9
CITY OF CARMEL, INDIANA VENDOR: 370758
® ONE CIVIC SQUARE AMBER TITUS CHECK AMOUNT: $""`""'346.00•
CARMEL, INDIANA 46032 324 LEXINGTON BLVD CHECK NUMBER: 260069
9M�TpN ` CARMEL IN 46032 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 2001052003 346.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Titus, Amber Allowed 20
324 Lexington Blvd
Carmel, IN 46032
In Sum of$
$ 346.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICENO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-15 2001052003 4358400 $ 346.00 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 24, 2016
Signature
$ 346.00 Business Services Director
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
6/22J2016 Receipt#2001052.003
Monon Community Center East Building
g Voucher
1235 Central Park Dr. East J /t�o216�11PMy_4
Carmel, IN 46032
Phone: (317) 848-7275
FAX: - t.:al cla Uff
-
Email: info@carmelclayparks.com
WINNERParks&KCCF(E--&0ati01 n
NATIONAL GOLD MEDAL
CC E :ITED AGENCY
%�AMBER,,�TIITUS�� �
324 L'�xIN�TON W. D
. ;C'3ARM EL,,�I N.�.4�6Q32f
Prepared By: bennyj
Customer ID: 19678
Primary phone: (317) 514-0202, Secondary phone: (317) 514-0202
Refund Sljmm;'!�ry
._._........-............---.........--........................_........_....___.._......................_......._....._..._..............._..
Check: ($346.00) Check #
Total Received: ($346.00) Total Refund: ($346.00)
Transactions
Customer Descri ti ate snit )"Z'7 Fee Charge
Amber Titus Refund balance Refund Each 1.00 $346.00 ($346.00)
324 Lexington Blvd Action: Refund Balance balance
Cartmel,IN 46032
Primary phone: (317) 514-0202
Email: eileen—vine@hotmail.com
ID: 19678
Pw'Totalll Ch�sarges ($346.00)
Total-Pagrtnens-($346 0%
Balance $0
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