HomeMy WebLinkAbout300830 07/21/16 �%�""' � CITY OF CARMEL, INDIANA VENDOR: 370848
�` ONE CIVIC SQUARE SUE EMMONS CHECK AMOUNT: $********15.00*
x� _�; CARMEL, INDIANA 46032 14062 STAGHORN CHECK NUMBER: 300830
'91;ETON ` CARMEL IN 46032 CHECK DATE: 07/21116
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000330004 15.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Emmons, Sue Allowed 20
14062 Staghorn Dr
Carmel, IN 46032
In Sum of$
$ 15.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000330004 4358400 $ 15.00 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
July 12, 2016
P"&Mnyw
Signature
$ 15.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2000330.004 Page 1 of 1
Monon Community Center West VO�uither =#20`00330.;00-4
Building }u1.27, 201`6 5 13AM.
1195 Central Park Dr. West [�3i�_�- .:
Carmel, IN 46032
Phone: (317) 848-7275 CA C ay
FAX: -- Carmozla
Email: info@carmelclayparks.com Parks&Recreation
NATIONAL GOLD MEDAL WINNER
�SUrE EMMONSs
�`�14062STAGHORNRDR;j
AND ACCREDITED AGENCY
rCARMEL .IN�46032.
Prepared By: prestons
Customer ID: 29420
Primary phone: (765) 729-7939, Secondary phone: (765) 729-7939
Refund Summary
Total Received: ($15.00) Total Refund: ($15.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Sue Emmons Escape Pass- Household Monthly Membership Each 1.00 $15.00 ($15.00)
14062 staghorn Dr Action: Membership Cancel Fee
Carmel,IN 46032 Expires: Jun 9, 2016
Primary phone:(765)729- 15 Passes Sold
7939 Pass# 130039153: Alexa Emmons RECEIVED Email: Pass# 130038732: Faith Emmons .L`�Aa`�.E 'l� 1G
emmons0o5@sbcglobal.net Pass# 130037576:Judy Emmons
ID:29420 Pass#000017683: Mike Emmons JUL
I II �'2Q16
Pass# 130039156: Payton Emmons V L.
Pass# 130039150: Sue Emmons
Thanks for your purchase!This pass will BY:
automatically renew each month, until cancellation
request Is received. Cancellation request must be
received 7 days prior to billing date.
Total Charges ($15.00)
Notal Rayrnents;($=15:00)--
Balance --Vg—
Federal
0Federal Tax ID # 35-6000972
v�
https:Hactivenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 7/7/2016