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301506 08/04/16 ��p\• - CITY OF CARMEL, INDI NA VENDOR: 363850 ONE CIVIC SQUARE CARRYN FLETCHER CHECK AMOUNT: $*******235.00* ?: CARMEL, INDIANA 46032 13239 BLACKTERN WAY CHECK NUMBER: 301506 M«oN. CARMEL IN 46033 CHECK DATE: 08/04/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 200031700 235.00 REFUNDS AWARDS & INDE i Voucher No. Warrant No. Fletcher, Carryn Allowed 20 13239 Blacktern Way Carmel, IN 46033 In Sum of$ $ 235.00 I ON ACCOUNT OF APPROPRIATION FOR i 109 -MCC PO#or Board Members Deptept# INVOICE NO. ACCT#/TITLE AMOUNT 1096-10 200031700 435$400 $ 235.00 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the � —`irials or services itemized thereon for h charge is made were ordered and ived except I July 28, 2016 Kew -5 - Signature Accounts Payable Coordinator C Title C i I ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Fletcher, Carryn Terms 13239 Blacktern Way Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/25/16 200031700 Refund $ 235.00 Total $ 235.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer �rReceip,t#2000317.006 Page 1 of 1 RF,CF,IV%FAD JUL 2 5 2016 ;2O6Administrative ffices Voucher � p- 3NEE7% 0� BY: Jul�2'5 2016=9M-1 1411 E. 116th Street r Carmel, IN 46032 Phone: (317) 843-3875 FAX: -- Carmel Email: info@carmelclayparks.com Parks&Recreation NATIONAL GOLD MEDAL WINNER CARR��N F ETcH�ER SAND ACCREDITED AGENCY 3239;'BLACKTERN WAy CC�RM � PN 46033 Prepared By: leahw Customer ID: 44285 Primary phone: (317) 815-9550, Secondary phone: (317) 509-10E Refund Summary Check: ($235.00) Check # Total Received: ($235.00) Total Refund: ( �3'S.00 I �-' Transactions Customer Desciiption Item Unit Qty Fee Charge Marie Fletcher Lifeguarding #163122-03 Activity Each 1.00 $235.00 ($235.0( 13239 8lacktern Action:`Withdraw Fee Way Withdraal Date:Jul 25, 2016 Carmel,IN 46033 Primary phone: Meets: From July 18, 2016 to July 21, 2016 (800)578-1880 Each Monday from 9am to 6pm Email: Each Tuesday from 9am to 6pm jcfletch@indy.net Eoch Wednesday from 9am to 6pm ID:44287 Each Thursday from 9am to 6pm xcept the following dates: Monday,July 18,2016 P us the following dates: Monday,July 18, 2016 from 9am to 6pm Multipurpose Room East B at Monon Community Center East Building Location: Party Room C Total Charges ($235.0( Total Payments ($235.0C Balance $ ( a a6.10. y35S�n� 7�2S ISG https:Hactivenet023.active.com/carmelclayparks/seivlet/processReceiptPayment.sdi 7/25/2016