300881 07/21/16 %' "''F. CITY OF CARMEL, INDIANA VENDOR: 3708 9
�` ONE CIVIC SQUARE HEAT ER WALBORN CHECK AMOUNT: $********73.00*
�. ,=a CARMEL, INDIANA 46032 3776 PQWER DRIVE CHECK NUMBER: 300881
'�'�i rori��� CARMEI IN 46033 CHECK DATE: 07/21/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2001159003 73.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Walborn, Heather Allo ed 20
3778 Power Drive
Carmel, IN 46033
In Jum of$
$ 73.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-40 2001159003 4358400 $ 73.00 1 he eby certify that the attached invoice(s), or
bill( ) is (are)true and correct and that the
ma�erials or services itemized thereon for
wht.h charge is made were ordered and
received except
July 12, 2016
Signature
$ 73.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2001159.003 Page 1 of 1
a =;
JUL 2 2016
Monon CommunityCenter Eat '
voucl�er.�=a#=20"OY1159:00.3�
Building BY;
1235 Central Park Dr. East � t J4ul. 19 �201`�6'12�a5,0_�PNiu�s-
Carmel, IN 46032
Phone: (317) 848-7275 Carmel
FAX: --
Email: info@carmelclayparks.com
Parks&Recreation
NATIONAL GOLD MEDAL WINNER
HEATHER ,WALBO*RN#< AND ACCREDITED AGENCY
�3p7�78�P Y WER�D�RIUE,�,-
'-CARMEL k 6'0'33":',
Prepared By: amandaj
Customer ID: 32362
Primary phone: 317) 833-9406, Secondary phone: (317) 670-5508
Refund Summary
Total Received: ($73.00) Total Refund: ($73.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Emily Walborn Half Day Camp: Life in the Pond #166010-01 Activity Each 1.00 $73.00 ($73.00)
3778 Power Drive Action:Withdraw Fee
Carmel,IN 46033 Withdrawal Date: Jul 11, 2016
Primary phone:(317)833-
9406 Meets: From July 18, 2016 to July 2 , 2016
Email: Each Monday from Siam to N on
heatherwalborn@yahoo.com Each Tuesday from 9am to Noon
ID:32364 Each Wednesday from 9am t Noon
Each Thursday from Siam to Noon
Each Friday from 9am to Noon
Location:
Party Room B at Monon Community Center West Building
Party Room A at Monon Community Center West Building
Total Charges ($73.00)
TotaIJ"Pa,YLmar ts1$7X 60)'
Balance $0
1U�040 ,Lt3'58`O0
ID
https://anprod.active.com/cannelclayparks/servl t/processReceiptPayment.sdi 7/11/2016