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302351 08/25/16
1+ _C4gf CITY OF CARMEL, INDIANA VENDOR: 371028 ONE CIVIC SQUARE JEANNINE COMPTON CHECK AMOUNT: $ •"225.00' CARMEL, INDIANA 46032 12448 GLENDURGAN DR CHECK NUMBER: 302351 CARMEL IN 46032 CHECK DATE: 08/25/16 t ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2001375003 225.00 REFUNDS AWARDS & INDE Voucher No. Warrant No. Compton, Jeannine Allowed 20 12448 Glendurgan Dr Carmel, IN 46032 In Sum of$ $ 225.00 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-10 2001375003 4358400 $ 225.00 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 18, 2016 Signature $ 225.00 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. Compton, Jeannine Terms 12448 Glendurgan Dr Date Due Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/17/16 2001375003 Refund $ 225.00 Total $ 225.00 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 Receipt#2001375.003 Page 1 of 1 AUG 18 2016 Monon Community Center Eosr; O`U'Cher7=''#2001;375.003 Building 1235 Central Park Dr. East rJAug 17, 2016 9 17. 7 AM Carmel, IN 46032 FAXPhone:( 317) 848-7275 Car el, le Clax 1' . Email: info@carmelclayparks.com - y Parks&Recreation NATIONAL GOLD MEDAL WINNER �� J,EANNTNESC©MPTQN-� AND ACCREDITED AGENCY 12-448-G12ENDURGAN-DR - CARMEL; IN,46032 ! - Prepared By: jenniferb Customer ID: 31139 Primary phone: (317) 258-1414, Secondary phone: (317) 867-5472 Refund Summary Check: ($225.00) Check # Total Received: ($225.00) Total Refund: ($225.00) Transactions Customer Description Item Unit Qty Fee Charge Christopher Compton West Clay 10-Visit Pass 10-Visit Pass Each 1.00 $15.00 ($15.00) 12448 Glendurgan Drive Action: Membership Cancel Fee Carmel,IN 46032 Expires: Aug 17,2016 Primary phone:(317)248- Pass# 000017516: Christopher Compton 1414 The 10-Visit Pass will rollover from school year-to- Email: school year. dradamcompton@gmail.com ID:31140 Christopher Compton West Clay 20-Visit Pass 20-Visit Each 1.00 $210.00 ($210.00) 12448 Glendurgan Drive Action: Membership Cancel Pass Fee Carmel,IN 46032 Expires: Aug 19,2018 Primary phone:(317)248- Pass#000017516: Christopher Compton 1414 The 20-Visit Pass will rollover from school year-to- Email: school year. dradamcompton@gmail.com ID:31140 Total Charges ($225.00) Total-Rayments.-($225._00),- Balance $0 Federal Tax ID # 35-6000972 https:Hanprod.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 8/17/2016