HomeMy WebLinkAbout260460 07/07/16 i v�C=q�
CITY OF CARMEL, INDIANA VENDOR: 370803
® `I• ONE CIVIC SQUARE SALLIE PEELER
CHECK AMOUNT: $*********2.50*
_� CARMEL, INDIANA 46032 1136 HIALEA COURT CHECK NUMBER: 260460
0o�i*oN� INDIANAPOLIS IN 46280 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2001058003 2.50 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Peeler, Sallie Allowed 20
1136 Hialea Court
Indianapolis, IN 46280
In Sum of$
$ 2.50
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2001058003 4358400 $. 2.50 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 30, 2016
Signature.
$ 2.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2001058.003 Page 1 of 1
JUN 2 7 2016
Monon Community Center1 � r�'�4
: 1 Voucher 01.058003 '
Building - - Jun2r3 2016'��2'24�PM�
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 84877275
FAX: --
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Email: info@carmelclayparks.com r
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-1,E PEELER
{ 6 LEA could , AN-D A.PCREDI:TED AGMEN40Y '
IdN Z.E PONZS„- .4'6280
Prepared-By: michelley
Customer-ID: 12133 .
Primary phone: (317) 418=3308; Secondary phone: -=
Refund_ Summary
Check: ($2.50) Check #
Total Received: ($2.50) Total Refund: ($2:50)
Transactions-
Customer. .
ransactionsCustomer. . Description Item Unit Qty Fee Charge
Daniel'Peeler.' Adaptive Swim Clinic#168074-01. Activity Fee Each - .1.00 $10.00 ($.10.00)
1136 Hialea Court Action:Withdraw
Indianapolis,IN 46280 Withdrawal Date:Jun 23, 2016 Scholarship Each 1.00 $7.50 $7.50
Primary phone:(317)418= - MCC Rec
3308 Meets: June 25, 2016 Programs
Email:.speeler@indy.rr.com Saturday from 1pm to 2pm
ID: 12132 : Location:
Total,Charges ($2..50.)•
Total Paymeln#sem'(250§)
Balance $0
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https:Hactivenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 6/23/2016