HomeMy WebLinkAbout302781 09/08/16 CITY OF CARMEL, INDIANA VENDOR: 371099
ONE CIVIC SQUARE SHAWNEICE FUQUA CHECK AMOUNT: $********99.00*
f ?� CARMEL, INDIANA 46032 1051 TENNIS COURT CIR APT D CHECK NUMBER: 302781
INDIANAPOLIS IN 46260 CHECK DATE: 09/08/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4358400 2000408004 99.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Fuqua, Shawneice Allowed 20
1051 Tennis Court Cir Apt D
Indianapolis, IN 46260
In Sum of$
$ 99.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1094 2000408004 4358400 $ 99.00 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
September 6, 2016
Signature
$ 99.00 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.
Fuqua, Shawneice Terms
1051 Tennis Court Cir Apt D Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/16 2000408004 Refund $ 99.00
Total $ 99.00
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#2000408,004 RUE- CE� ���ED Page 1 of 1
AUG 3 0 2016
Monon Community Center West Voucher #U21:q%9'4°O0, 4
Building g--Au27 `2016 4= 1i-PM�
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX: --
Car el 9 Clay
Email: info@carmelclayparks.com PaFks&Recrea-ition
SHAW -FUQUA-�/ NATIONAL GOLD MEDAL WINNER
`1OS NN
TEIS COURT Cfl*APRT D
AND ACCREDITED AGENCY
IN'DIANAPOtL T1V*g6,g
Prepared By: staceyi
Customer ID: 18918
Primary phone: (317) 985-0954, Secondary phone: (317) 400-4923
Refund Summary _
Check: 9.00) Check- #
Total Received: (-$99-Oh,)-::7 Total Refund: ($99.00)
Transactions
Customer Description Item Unit Qty Fee Charge
shawneice Fuqua Credit for Cabana Rental #5965-Weekend Rental Fee Weekend Each 1.00 $92.52 ($92.52)
1051 Tennis Court Cir Apt D Action: Refund Permit Charges Rental Fee
Indianapolis,IN 46260 Location: Cabana#06 at Monon Cmty.Ctr Waterpark
Primary phone:(317)985- Orig Receipt#1109054.004
0954 Permit# 5965
Email:snfuqua@yahoo.com
ID: 18918
Subtotal ($92.52)
IN Sales Tax included ($6.48)
Total Charges ($99.00)
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Balance $0
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