HomeMy WebLinkAbout260415 07/07/16 %'� �� CITY OF CARMEL, INDIANA VENDOR: 367 750
® ; ONE CIVIC SQUARE KAREN DEBOER CHECK AMOUNT: $*********8.00*
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9` �_�. CARMEL, INDIANA 46032 1030 CHURCHILL COURT CHECK NUMBER: 260415
.y�TON�, INDIA I APOLIS IN 46280 CHECK DATE: 07/07/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 20010660013 8.00 REFUNDS AWARDS & INDE
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Voucher No. Warrant No.
Deboer, Karen Allowed 20
1030 Churchill Court
Indianapolis, IN 46280
In Sum of$
$ 8.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2001066003 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
whidh 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#2001066.003 Page 1 of 1
. a
Monon Community Center East JUN 2 7 ,2016 VoucherC#-200'10-6-6,A0.3
Building Jun
1235 Central Park Dr. East BY:
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Cai
Email: info@carmelclayparks.com
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arks&Recreation
, __ NATIONAL GOLD MEDAL INNER
KAREN DEBOE;--LL-e AND ACCREDITED AGENCY
103.0 CMU_RCHILL�COURT
4DIA.IVAPOL-IS,-IN 46280
IN
Prepared By: michelley
Customer ID: 10139
Primary phone: (317) 575-1993, Secondary phone: --
Refund Summary
Total Received: ($8.00) i Total Refund: ($8.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Caleb DeBoer Adaptive FlowRlder#168055-05 ActivityFee Each 1.00
1030 Churchill court Action:Withdraw $8.00 ($8.00)
Indianapolis,IN 46280 Withdrawal Date:Jun 23, 2016
Primary phone:(317)575-
1993 Meets:June 20, 2016
Email:gkdeboer@yahoo.com Monday from 7:15pm to 8i:45pm
ID:202 Location:
Flowrider at Monon Community Center Waterpark
Total Charges ($8.00)
Total Payments($8:00) — v
Balance $0""
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https://activenet023.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 6/23/2016