HomeMy WebLinkAbout304943 11/09/16 CITY OF CARMEL, INDIANA VENDOR: 371301
CHECKAMOUNT: $*******»38.00`
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ONE CIVIC SQUARE SUSAN JOHNSONCARMEL, INDIANA 46032 362 BOYLSTON ST APT 414 CHECK NUMBER: 304943
CARMEL IN 46032 CHECK DATE: 11/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2001510003 38.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Johnson, Susan Allowed 20
362 Boylston St, Apt 414
Carmel, IN 46032
In Sum of$
$ 38.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or Board Members
Deptept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-40 2001510003 4358400 $ 38.00 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
November 4, 2016
Signature
$ 38.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Receipt#2001510.003 CPage 1 of 1
NOV 0 3 2016
BY:
Monon CommunityCenter East imp ° f ` '- ",
!o clef #200� 10.003-
Building rx
5kaOct3+1, 20-,16-,4--4-44'P, QM
1235 Central Park Dr. East � 3
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Car el * Cay
I
Email: info@carmelclayparks.com Parks&Recreation
F,F rr� 4'rV4 F NATIONAL GOER MEDAL WINNER
SUSAN'sJOHNSOI�I� .
. 362 BgYL4� 0,IV,rST AP X414
AND ACCREDITED AGENCY
CARME�Lk IN4603,2r r w
Prepared By: amandaj
Customer ID: 56181
Primary phone: (317) 340-3843, Secondary phone: --
Refund Summary
Check: ($38.00) Check #
Total Received: ($38.00) efund'T (,$i38 :00)
Transactions
Customer Description Item Unit Qty Fee Charge
Susan Johnson Pickleball for Beginners I#267004-02 Activity Each 1.00 $38.00 ($38.00)
362 Boylston St Apt 414 Action:Withdraw Fee
Carmel,IN 46032 Withdrawal Date: Oct 31, 2016
Primary phone:(317)340-
3843 Meets: From November 3, 2016 to December 1, 2016
Email:sjohnso2@iupui.edu Each Thursday from 5:15pm to 6:45pm
ID:56181 Except the following dates:
Thursday,November 24, 2016
Location:
Gymnasium C at Monon Community Center West Building
Total Charges ($38.00)
Total Payments ($38.00)
Balance $0
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