HomeMy WebLinkAbout302445 08/31/16 Coq
�`'�' +,F CITY OF CARMEL, INDIANA VENDOR: 371042
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ONE CIVIC SQUARE ELAINE JACKSON DELLINGER CHECK AMOUNT: $********42.00*
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CARMEL, INDIANA 46032 3577 E 98TH STREET CHECK NUMBER. 302445
9�'Irui.�o` CARMEL IN 46033 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2001386003 42.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Jackson Dellinger, Elaine Allowed 20
3577 E 98th Street
Carmel, IN 46033
In Sum of$
$ 42.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 2001386003 4358400 $ 42.00 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 22, 2016
Signature
$ 42.00 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.
Jackson Dellinger, Elaine Terms
3577 E 98th Street Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/22/16 2001386003 Refund $ 42.00
Total $ 42.00
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
8/22/2016 Receipt#2001386.003
Monon Community Center East Building '�
V®ocher 40130�w®0.3 '
Aug 22, 26i-`&,,9-30-AM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 848-7275
FAX: - C 3,r ne
-
Email: info@carmelclayparks.com I . y
rarks&Recreation
�:rNATIONAL GOLD MEDAL WINNER
ht=t!tiI°NEJACKSON'DELLIN:GER
35F77-� 9STH STREET,-�
AND ACCREDITED AGENCY
Prepared By: bennyj
Customer ID: 39864
Primary phone: (317) 900-3210, Secondary phone: --
Refund Summary _
-.- --...........-_.. .._ -. .. -..._...---- -- .-. -- -- -:
_.. _._._�_�__._.....__._. ___...._.._..--
Check: $42
Total Received: ($42,00) Total Refund: ($42.00)
Customer arn 01nit Qty Fee Charge
Elaine Jackson Dellinger Refund balance Refund Each 1.00 $42.00 ($42.00)
3577 E.98th Street Action: Refund Balance balance
Carmel,IN 46033
Primary phone: (317)900-3210
Email: eitcdellinger@gmail.com
I0: 39864
Total Charges ($42.00)
Balance $0
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AUG 2 2 2016
BY:
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