HomeMy WebLinkAbout302413 08/25/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 371029
ONE CIVIC SQUARE RITA WICKS CHECK AMOUNT: $****'**281.44*
CARMEL, INDIANA 46032 16941MAPLE SPRINGS WAY CHECK NUMBER: 302413
WE TFIELD IN 46074 CHECK DATE: 08/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 20003890b4 281.44 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Wicks, Rita Allowed 20
16941 Maple Springs Way
Westfield, IN 46074
In Sum of$
$ 281.44
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE . AMOUNT Board Members
Dept#
1092 2000389004 4358400 $ 281.44 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 wereeordered and
received except
August 18, 2016
Signature
$ 281.44 Accounts Payable Coordinator
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.
Wicks, Rita Terms
16941 Maple Springs Way Date Due
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/15/16 2000389004 Refund $ 281.44
Total $ 281.44
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
Receipt#2000389.004 Page 1 of 1
'4
Monon Community Center West VOTuC.11e1'� k "Z00'0� 89y00"4'?" `
Building
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1195 Central Park Dr. West ,y,E,;,,,,t
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- armel le Clay
Email: info@carmelclayparks.com �
rks&Recreatron
NATIONAL GOLD MEDAL WINNER
16941#MAPLE:
- b AY AND ACCREDITED A ENCY
WESFIELD, IN 46Q74 'i
Prepared By: hollypg
Customer ID: 11561
Primary phone: (317) 727-0839, Secondary phone: --
Refund Summary
Check: ($281.44) Check #
Total Received: ($281.44) Total Refund: ($281.44)
Transactions
Customer Description Item Unit Qty Fee Charge
Rita Wicks Escape Pass-Senior Annual Membership Each 1.00 $281.44 ($281.44)
16941 Maple springs Way Action: Membership Cancel Fee
Westfield,IN 46074 Expires: Aug 15, 2016
Primary phone:(317)727- Pass# 130032534: Rita Wicks
0839 Thanks for your purchase!
Email:--
ID: 11561
Total Charges ($281.44)
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Tim, f,�`��c'iL,` 7' taayments-_($281"•44),,... ..
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Balance $0
AUG 1.6 2016
Federal Tax ID # 35-6000972
BY:
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https:Hanprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 8/15/2016