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HomeMy WebLinkAbout301879 08/12/16 CITY OF CARMEL, INDIANA VENDOR: 364064 s e t�(r ONE CIVIC SQUARE ANISSA J MADRU CHECK AMOUNT: $*****2,538.00* :. =q CARMEL, INDIANA 46032 11617 FOREST DRIVE CHECK NUMBER: 301879 9.;�«oN.�� CARMEL IN 46033 CHECK DATE: 08/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2001343003 2,538.00 REFUNDS AWARDS & INDE Voucher No. Warrant No. Madru, Anissa Allowed 20 11617 Forest Dr Carmel, IN 46033 In Sum of$ $ 2,538.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-11 2001343003 4358400 $ 2,538.00 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 August 11, 2016 Signature $ 2,538.00 Business Services Director Cost distribution ledger classification if Title claim paid motor vehicle highway fund 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. Madru, Anissa Terms 11617 Forest Dr Date Due Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/9/16 2001343003 Refund $ 2,538.00 Total $ 2,538.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20_ Clerk-Treasurer 8/9/2016 Receipt#2001343.003 Monon Community Center (East Building Voucher #200 .343.003 1235 Central Park Dr. East Aug 9, 2016 4:50 PM Carmel, IN 46032 Phone: (317) 848-7275 FAX: - 143 - Email: info@carmelclayparks.com d NATIONAL GOLD MEDAL WINNER ANISSA MADRU 11617 FOREST DR AND ACCREDIIED AGENCY CARMEL, IN 46033 Prepared By: bennyj Customer ID: 19238 Primary phone: (317) 513-3298, Secondary phone: (317) 513-3298 Refund Summary ................................_._..............__..__.._....__.._...._. _......._._......................................._..................................................._.__....-----........................ ........................._ . .....—--........................................ Check: ($2,538.00) Check # Total Received: ($2,538.00) Total Refund: ($2,538.00) Customer Descrij,-tlon tenaa Unit Qty Fee Charge Anissa Madru Refund balance Refund Each 1.00 $2,538.00 ($2,538.00) 11617Forest Dr Action: Refund Balance balance Carmel,IN 46033 Primary phone: (317) 513-3298 Email: amadru@sbcglobal.net ID: 19238 Total Charges ($2,538.00) Total Payments ($2,538,00) Balance $0 pn C� J https://anprod.active.com/carmelclayparks/serviettprocessAdminLogin.sdi,jsessionid=ccrltushjmpe10ul67azctyg5 1/1