301273 07/28/16 .4�Yr 44q�F
CITY OF CARMEL, INDIANA VENDOR: 370915
CHECK AMOUNT: $***'* *`40.00'
.� ® ONE CIVIC SQUARE GREG KRONTIRIS
CARMEL, INDIANA 46032 5136 ORIOLE CHECK NUMBER: 301273
CARMEL IN 46033 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000344004 40.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Krontiris, Greg Allowed 20
5136 Oriole
Carmel, IN 46033
In Sum of$
$ 40.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1092 2000344004 4358400 $ 40.00 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 22, 2016
'PAdimm"
Signature
$ 40.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2000344.004 Page 1 of 1
CEIVED
JUL 21'2016
Monon Community Center We ouches=<r:#.2000344.004
Building ]ul 1.9, 201;6 3 50YPM
1195 Central Park Dr. West _
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carmel 9 Clay
Email: info@carmelclayparks.com Parks&Recreation
NATIONAL GOLD MEDAL WINNER.
GREG }�RONTIRIS
5%36OtRPo E „r AND ACCREDITED AGENCY
CARMEL, IN 46033..
Prepared By: hollypg
Customer ID: 29384
Primary phone: (317) 571-1106, Secondary phone: (317) 571-1106
Refund Summary _ __.r
4iheck:.�($4d 00)-Check-#------ J'
Total Received: ($40.00) Total Refund: ($40.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Greg Krontiris Escape Pass-Adult Monthly Membership Each 1.00 $40.00 ($40.00)
5136 oriole Action: Membership Cancel Fee
Carmel,IN 46033 Expires: Jul 19, 2016
Primary phone:(317)571- Pass# 130040688: Greg Krontiris
1106 Thanks for your purchase!This pass will
Email:Gkrontiris@indy.rr.com automatically renew each month, until cancellation
ID:29384 request is received. Cancellation request must be
received 7 days prior to billing date.
_Total Charges ($40.00)
Total-Payments
Balance $0
Federal Tax ID # 35-6000972
\0
CIO
https:Hanprod.active.com/carinelclayparks/servlet/processReceiptPayment.sdi 7/19/2016