HomeMy WebLinkAbout260443 07/07/16 CITY OF CARMEL, INDIANA VENDOR: 370610
ONE CIVIC SQUARE KATHY LOSING CHECK AMOUNT: $*********8.00*
sj=� CARMEL, INDIANA 46032 10400 WHITE OAK DRIVE CHECK NUMBER: 260443
.;,�TON.�` CARMEL IN 46032 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2001075003 8.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Leising, Kathy Allowed 20
10400 White Oak Drive
Carmel, IN 46032
In Sum of$
$ 8.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2001075003 4358400 $ 8.00 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 30, 2016
Signature
$ 8.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2001075.003 Page 1 of 1
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71
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Monon Community Center East JUN.2 7 2016 Voucher #001'05 .003
Building un23; 2,Or16:23:3P�f�
1235 Central Park Dr. East BY:
Carmel, IN 46032
Phone: (317) 848-7275 Clay .
FAX: -- Cal
Email: info@carmelclayparks.com
rarks&' Recrebfion
NATIONAL GOLD MEDAL WINNER
KATFiY�LEISING
r1f0`�400`WHITE=O K'DRIVE AND. ACCREDITED AGENCY
ARM't.L rI-N-460.3*2 )
Prepared By: michelley
Customer ID: 23353
Primary phone: (317) 844-5202, Secondary phone: --
Refund. Summary
Check: ($8.00) Check #
Total Received: ($8.00) Total Refund: ($8.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Taylor Leising Adaptive FlowRider#168055-04 Activity Fee Each 1.00 $8.00 ($8.00)
10400 White Oak Drive Action:Withdraw
Carmel,IN 46032 Withdrawal Date:Jun 23, 2016
Primary phone:(317)844-
5202 Meets:June 14, 2016
Email:rleising@giesting.com Tuesday from 7:15pm to 8:45pm
ID:23352 Location:
Flowrider at Monon Community Center Waterpark
Total Charges ($8.00)
Tot,�tal�Payments ($8'.00),
Balance $0
U � 5 `-
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https://activenet023.active.com/carmelclayparks/servlet/ProcessReceiptPayment.sdi 6/23/2016