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306228 12/12/16
' CITY OF CARMEL, INDIANA VENDOR: 371372 ONE CIVIC SQUARE ALLYSON WELLS CHECK AMOUNT: $*******715.00* CARMEL, INDIANA 46032 C/O CHS CHECK NUMBER: 306228 520 EAST MAIN STREET CARMEL IN 46032 CHECK DATE: 12/12/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 715.00 OTHER EXPENSES 0 0 > « M � O 0 O § 22 2 2 0 C 0 r Z ? $ _ m O k A m 2 < / 0 k q \ /A j 0 / CO _ § 2. > m 2 R 00tc0 c % I / Eq 0 2 m > _ 2 -nO -n E |8 Z $ 2 Iz r 0 # ^ E E / A g 7 / or c , , e G k § CL 2 k k +_ f � � � Z CD 0 C 7 J - M - E K z § % ( § & \ E \ / =r 90 a « E S. E CL a r, S. w o_ § [ f § 2 ƒ § o « / M ; # 7 E� j3 0 a m § M \ cr M Gt7 0 \3 =r D / \ $ C / \ 0 / ODz 0) 0300 IR * q ƒ 7 =C k � � M° © Z > k � CD / � [ | k� / E 2 \/ a % D \/ 3 L 0 D b)7 % M D � X 0 M Si 2. f 0 ° a ` % k % ) / \ CD C c coCD co 0 7 o O / \ 2 § / 3 / C 0 c § m i § K 2 § 7 CL CD § / q k ; ® z 6 ¥ � Date: December 8, 2016 Allyson Wells TO City of Carmel CHS-Kokomo Tornado Relief One Civic Square Fund Carmel, IN 46032 Address:520 East Main Street City,State,Zip Code Carmel,IN 46032 MAKE CHECK PAYABLE TO: Allyson Wells PAYMENT DESCRIPTION — TERMS -DUE DATE Carmel Mayor's Youth Council Donation from Dodgeball Tournament Fundraiser i I i i SUBTOTAL SALES TAX $0.00 TOTAL $715.00