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307504 01/25/17 CITY OF CARMEL, INDIANA VENDOR: 371480 CHECK AMOUNT: $'"'`""'11.00` ONE CIVIC SQUARE GERRIT DEBOER CARMEL, INDIANA 46032 1030 CHURCHILL COURT CHECK NUMBER: 307504 r INDIANAPOLIS IN 46280 CHECK DATE: 01/25/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRREFUNDS AWARDS & INDE 1096 4358400 2000501006 11.00 « _ 0 � � o 0 � 0 z CD C) ® > 0 k ) / © % o C f o o E § E RA 7 a 2 � 0CD E 2 3 E o z o O 0 5Q \ 0 S 0 w 7 k cn = CD i > 9 ¢ 2 & ® & /k \ƒ\ 2 q/ %) C) C) ( m > 2 � \ w --i P \ 0 ¥ k k ] 7 ::r > 0 0 _ i � =ra f Cl) $ < @ E \ E ]57 E M � \ to > 2 CD \ CD \ W \ \ @ CD . 2 k % \ 0 2 / 0 m 0 0 / CD ƒ » � k Q w m & - f 0 / 0 \ ] o $ � \ | 2 / Q 0 0 1/1312017 f 4& • Receipt 81000601.006 Administrative Offices Voucher #2000501.006 1411 E. 116th Street ]an 13, 2017 3:00 PM Carmel, IN 46032 Phone: (317) 843-3875 FAX: -- I 'Email: info@carmelclayparks.com Car Parks&Recreation GERRIT DEBOER NATIONAL GOLD MEDAL WINNER 1030 CHURCHILL COURT INDIANAPOLIS, IN 46280 AND ACCREDITED AGENCY Prepared By: michelley Customer ID: 56184 Primary phone: (317) 575-1993, Secondary phone: -- Refund Summary Check: ($11.00) Check Total Received: ($11.00) Total Refund: ($11.00) Transactions Customer Description Item Unit Qty Fee Charge Ca"Cesoer Adaptive Adult Karaoke Night#378039-01 Activity Fee Each 1.00 $11.00 ($11.00) 1030 Owrchi Court Action:Withdraw srdianapoks,IN 46280 Withdrawal Date:Jan 13,2017 Primary phone:(317)575-1343 Erne:gkdehoer@yahoo.com Meets:January 13,2017 ID:202 Friday from 6pm to 8pm Location: Program Room A at Monon Community Center East Building Total Charges ($11.00) Total Payments ($11.00) Balance $0 i J A(V 1 7 2011 / BY: . Mlpslactivertala23.active.cankarmeldayparks/servleVprocessAdtninLogn-,A V1