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304268 10/20/16 W.�'!A u% '• CITY OF CARMEL, INDIANA VENDOR: 371244 t* „ ® ONE CIVIC SQUARE KIM DECKER CHECK AMOUNT: $ 40.00 �. ;�, CARMEL, INDIANA 46032 2914 CORDIAL COURT CHECK NUMBER: 304268 vM,__, WESTFIELD IN 46074 CHECK DATE: 10/20/16 «011� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 2000420006 40.00 REFUNDS AWARDS & INDE Voucher No. Warrant No. Decker, Kim Allowed 20 2914 Cordial Court Westfield, IN 46074 In Sum of$ $ 40.00 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-22 2000420006 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 October 13, 2016 Signature $ 40.00 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. Decker, Kim Terms 2914 Cordial Court Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/7/16 2000420006 Refund $ 40.00 Total $ 40.00 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 I_%_V_.dCEIyTE Adininistrative Offices. �424.Qa� r 1411 E. 116th Street OCT l 0 6M1043_U-Chdrr7#462016 Carmel, IN 46032Q� 7 ' dt6 1 f PN6 ��_. Phone: (317) 843-3875 BY: FAX: 909L I * C -- Email: info@carmelclayparks.comCij.'r t; ay. Crion.. , :. ..&ReNATIONAL GOLD MEDAL WINNER C�RDIALC©f I wESIEI_D,` Iz « AND ACCREDITED 'AGENCY Prepared By:jordanh Customer ID: 9379 P ��ry ri phone: (317) 730-0955, Secondary phone: -- Refund Summary Check: ($4.0.00) Check #€ Total Received: ($40.00) Total Refund: ($40.0Q) Transactions Customer Descri Item Unit Qty Fee .Charge [Gies Decker_ Kettlebe[l Power&Cor.#264345-¢46cticc6��.Fee Each r.QGD 2914 Cardial CouTt Action:withdraw ,L WeWeld,IN.46974 Wethdrawal Date:Qct7„2016 Primary phone:(317)736-a455 Bmalk ksdecker@lrotrrrail.com .Meets:Frohn October 1,2016 to October 29,2016. In:437<3 Each Saturday from:8:45am to 9:45ant Except the fallowing dates: Saturday,Qctober 22,26,IlE: - Location:Multipurpose W at Marron Community Ce rnter West Building Tatar Charges.($40.00). - To ta Pa`ycrrentf4Q Balance �0 DI Ll to 10 (-tt