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307552 01/25/17
CITY OF CARMEL, INDIANA VENDOR: 371483 CHECK AMOUNT: $*"•►8 w e«1 1.00` ONE CIVIC SQUARE MEGAN VARNAU CHECK NUMBER: 307552 CARMEL, INDIANA 46032 INDIA APOLISWESTFIELDBLVD INDIANAPOLIS IN 46280 CHECK DATE: 01/25/17 MIJpN�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRREFUNDS AWARDS & INDE 1096 4358400 2000512006 11.00 « co 20 0 k � © \ f / \ 0 k $ 0 40 k2 \ k o o § qG 3 k \ m 0 0 0 m } $ S 9co k « K3 a E > $ 2 § E k S 0 q 2 # CO \ E $ O 2 < m (a W � 2 g -0 J £ C) / o a / [ m \ Z CL \ 0 > 2 \ 0 a CD k - k ] R � \ / ® (D ƒ $ « CD ] m E 0 E 0 a o 0 D = . (D o � k 2 \ CD \ @ E E & » / e CD 2 _ $ \ 2 W J ( v CD N m o \ o & » & � 2 » q & 0 Q ° 0 5 ƒ § 7 A ] o ƒ A =_ t / 7 d CD f | f a 1/1312047 y Receipt X12M12.006 Administrative Offices Voucher #2000512.006 1411 E. 116th Street ]an 13, 2017 4:10 PM Carmel, IN 46032 Phone: (317) 848-7275 FAX: -- Email: info@carmelclayparks.com Carm� Clay Nrks&Recreation MEGAN VARNAU NATIONAL GOLD MEDAL WINNER 10202 WESTFIELD BLVD. INDIANAPOLIS, IN 46280 AND ACCREDITED AGENCY Prepared By: michelley Customer ID: 12022 Primary phone: (317) 846-8885, Secondary phone: -- 3 Refund Summary - Check: ($11.00) Check # Total Received: ($11.00) Total Refund: ($11.00) Transactions Customer Description Item Unit Qty Fee Charge Megan vama Adaptive Adult Karaoke Night#378039-01 Activity Fee Each 1.00 $11.00 ($11.00) 10202 Westfield Blvd. Aetim:Withdraw Indianapolis,IN 46280 Withdrawal Date:]an 13,2017 Primary phone: (317)846-8885 Email: -- Meets:January 13,2017 ID: 12022 Friday from bpm to 8pm Location: Program Room A at Monon Community Center East Building Total Charges ($11.00) Total Payments ($11.00) Balance $0 (0 `( RE'Q;°E,IV 3-"'1D] J AN 1 7 2017 U 5 � . BY: httpsi/adivenetC23.wbve.com/Carmeldw park inLc4rLsci it'l