HomeMy WebLinkAbout302342 08/25/16 i Cqq
< ( "f• CITY OF CARMEL, INDIANA VENDOR: 371027
.�; ® ;• ONE CIVIC SQUARE BOTROS BESADA
CHECK AMOUNT: $*****2,164.50*
CARMEL, INDIANA 46032 1236 E 104TH STREET CHECK NUMBER: 302342
INDIANAPOLIS IN 46280 CHECK DATE: 08/25/16
k roN ro.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2001366003 1,998.00 REFUNDS AWARDS & INDE
1081 4358400 2001368003 166.50 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Besada, Botros Allowed 20
1236 E 104th Street
Indianapolis, IN 46280
In Sum of$
$ 2,164.50
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-6 2001366003 4358400 $ 1,998.00 1 hereby certify that the attached invoice(s), or
1081-6 2001368003 4358400 $ 166.50 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 18, 2016
Signature
$ 2,164.50 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.
Besada, Botros Terms
1236 E 104th Street Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/12/16 2001366003 Refund $ 1,998.00
8/12/16 2001368003 Refund $ 166.50
Total $ 2,164.50
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#2001366.003 ` °' tT Page 1 of 1
' AUC 12 2016
Monon Community Center East Voucher
Building
1235 Central Park Dr. East rte`Aug':12 __2�0;16.78yZ7AM .
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- car el :
Clav
Email: info@carmelclayparks.com .
P;jf-ks&Recr* e' atJon
_ NATIONAL GOLD MEDAL WINNER,
,
L.BOTRos BESADA�-� AND ACCREDITED A- ENCY
23'6'.-E--,-1'`-04TH STREET-•----,
�INDIANA:Fi f IN-4 '280-,
Prepared By: jenniferb
Customer ID: 5824
Primary phone: (317) 567-1529,.Secondary phone: --
Refund Summary
Check: ($1,998.00) Check #
Total Received: ($1,998.00) Total Refund: ($1,998.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Botros i3esada Refund balance Refund, Each 1.00•$1,998.00 -($1,998.00) .
1235 E 104th street _ Action: Refund Balance .. balance - -
Indianapolis,IN 46280
Primary phone:(317)567-
1529.
Email:
miro-1313@yahoo.com
ID:5824
Total Charges($1,998.00)
. �Total�Payments ('$1,998.0,0). .
OBalance $0
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https://anprod.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 8/12/2016
Receipt#2001368.003 Page 1 of 1
AUG 12 2016 j
Monon Community Center Ea! !Voucher #2001368:003r�
Building - `Au_6AC_ c 20 1'6' 10.,28 AM `
1235 Central Park Dr. East
Carmel, IN 46032 .k AF
Phone: (317) 848-7275 ca, .F
CI a
FAX: -- _'
Email: info@carmelclayparks.com
Pa-�- � 'creation
NATIONAL GOER MEDAL WINNER
BOTROS-,,BESADAI, AND ACCREDITED ENC Y
1236kE ,104TH.,STRE E��
INDIANA,P.OLIS,:IiN 461280
Prepared By: jenniferb
Customer ID: 5824
Primary phone: (317) 567-1529, Secondary phone: --
Refund, Summary
Check: ($166.50) Check #
Total Received: ($166.50) Total Refund: ($166.50)
Transactions
Customer Description Item Unit Qty Fee-Charge
sotros Besada Refund balance Refund Each 1.00 $166.50 ($166.50)
1236 E 104th street Action: Refund Balance balance-
Indianapolis,IN 46280
Primary phone:(317)567-
1529
Email:
miro_1313@yahoo.com
ID:"5824
Total Charges .($166.50)
��Tot�;��Payitients�($16.6 SQ`) .
Balance $0
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https:Hanprod.active.com/carmelelayparks/servlet/processReceiptPayment.sdi 8/12/2016