HomeMy WebLinkAbout303083 09/15/16 CITY OF CARMEL, INDIANA VENDOR: 371126
ONE CIVIC SQUARE MAJA DICKSON CHECK AMOUNT: $********40.00*
CARMEL, INDIANA 46032 15095 RIVERDALE DR E CHECK NUMBER: 303083
9Mt rtiN�o` AFT 12 CHECK DATE: 09/15/16
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000080028 40.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Dickson, Maja Allowed 20
15095 Riverdale Dr E, Apt 12
Carmel, IN 46033
In Sum of$
$ 40.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-7 2000080028 4358400 $ 40.00 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 8, 2016
Signature
$ 40.00 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.
Dickson, Maja Terms
15095 Riverdale Dr E, Apt 12 Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/16 2000080028 Refund $ 40.00
Total 40.00
I 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
9/8/2016 Receipt#2000080.028
Prairie Trace Elementary VV�1',a .®�;
14200 N River Road Aug 26213�1r6'5 `21"PM ,,..
Carmel, IN 46033
Phone: (317) 698-0816
FAX, --
Email: info@carmelclayparks.coF M
m
e, a
PaFks&Kecreauon
IAa pzci<�sol� NATIONAL GOLD MEDAL WINNER
15095 RIVERC�}ALE Df't E APS' 12
CELIN_9603° AND ACCREDITED
Prepared By: audreyb -
Customer ID: 45706 SEP Q 2016
Primary phone: (317) 922-9060, Secondary phone: (904) 400-0620
_.......... ....._._.__....._._._...._.................................................._.........._........................................._-........................-----_.----------_......._------..-.-----------_............ ------........................_........._._........................................----- —....
Check: ($40.00) Check #
Total Received: ($40.00) Total Refund: �(a07�001)
_............_.___._...............__............____._.._._.______-----._.._............
Transactions
;ust er Description 'Ttarn Unit 'Qty Fee
Viola Dickson Prairie Trace Registration Fee ESE Each 1.00 $40.00 ($40.00)
15095 Riverdale Dr E Apt Action: Membership Cancel Registration
12 Expires:Aug 26,2016 Fee
Carmel,IN 46033 Pass# 000026878:Viola Dickson
Primary phone: (317)922-
9060
Email:
maladickson@gmail.com
ID: 53792
Total Charges ($40.00)
Total Payments ($40.00)
Balance $0
Federal Tax ID # 35-6000972
O
G
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