HomeMy WebLinkAbout260455 07/07/16 1y o!..�gq,Mf
�., CITY OF CARMEL, INDIANA VENDOR: 370802
�, ONE CIVIC SQUARE ELISE MONTOYA CHECK AMOUNT: $********23.00*
:9�® /,. CARMEL, INDIANA 46032 155 AUDOBON DR CHECK NUMBER: 260455
y��roN�, CARMEL IN 46032 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2001080003 23.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Montoya, Elise Allowed 20
155 Audobon Dr
Carmel, IN 46032
In Sum of$
$ 23.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2001080003 4358400 $ 15.00 1 hereby certify that the attached invoice(s), or
1096-70 2001070003 4358400 $ 8.00 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
$ 23.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt 42001080.003 Page 1 of 1
1 C �7ED
Monon Community Center Ea f r
Building ��y 2 7 2 16 Vouchser ' #200-1080,003
J nr23�2 1[16;244 PM, ,
1235 Central Park Dr. East BY:
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carmel .* .
CIay
Email: info@carmelclayparks.com -
rkRec rai
NATIONAL GOLD MEDAL WINNER
isE MO°NTOYA
BON: DRAI1D
AND ACCREDITED AGENC Y
C�AMELN=460327-31
Prepared By: michelley
Customer ID: 41503
Primary phone: (317).490-2528, Secondary phone: --
Refund Summary
Check: ($15.00) Check #
Total Received: ($15.00) Total Refund: ($15.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Alec Montoya Adaptive Open Swim #168050-01 Activity Each 1.00 $15.00 ($15.00)
155AudobonDr Action: Withdraw Fee
Carmel,IN 46032 Withdrawal Date:Jun 23, 2016
Primary phone:
(317)490-2528 Meets: June 14, 2016
Email: Tuesday from 7:15pm to 8:30pm
ferelise@me.com Location: Waterpark(Whole)at Monon Community Center Waterpark
ID:22835 Waterpark Entry Point at Monon Community Center Waterpark
Total Charges.($15.00).
Total sayEERs-j($151y0 )
Balance $0
6?0 U �
-4`� 0
C-0
https://activenet023.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 6/23/2016
Receipt#2001070.003 Page 1 of 1
Monon Community Center East JUN 2 7 2016 Voucher #2'00 70OOg3.
Building Jun 2�3,,20176-2-24-W..
1235 Central Park Dr. East BY:
Carmel, IN 46032
Phone: (317) 848-7275 Car '
FAX: --
Email: info@carmelclayparks.com
Pprks&R
�_ ..�-
NATIONAL G LP MEDAL WI NERC
5?'*DOBONYDR
r AND ACCREDITED AGENCY
, .
CARNI,�E.L;LN=46032 `
Prepared By: michelley
Customer ID: 41503
Primary phone: (317) 490-2528, Secondary phone: --
Refund Summary
Check: ($8.00) Check #
Total Received: ($8.00) Total Refund:, ($8.00)
Transactions
Customer Description Item Unit Qty :Fee Charge
Alec Montoya Adaptive FlowRider#168055-05 Activity Fee Each 1.00 $8.00 ($8.00)
155AudobonDr Action:Withdraw
Carmel,IN 46032 Withdrawal Date:Jun 23, 2016
Primary phone:(317)490-
2528 Meets: June 20, 2016
Email:ferelise@me.com Monday from 7:15pm to 8:45pm
ID:22835 Location:
Flowrider at Monon Community Center Waterpark
Total Charges ($8.00)
iota l�Payme hilts'+($'=8�®;Q
Balance $0
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(JA41 �
https://activenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 6/23/2016