307860 02/06/17 9,�.�+���`�� CITY OF CARMEL, INDIANA VENDOR: 371496
g ONE CIVIC SQUARE CHRISTOPHER GAHL CHECK AMOUNT: S....»."40.00
°; CARMEL, INDIANA 46032 12916 ANDOVER DRIVE CHECK NUMBER: 307860
+M. CARMEL IN 46033 CHECK DATE: 02/06/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000495004 40.00 REFUNDS AWARDS & INDE
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Receipt#2000495.004 Page 1 of 1
V7177JAN
. -,,7?'3 1 2011
Monon Community Center OUCher #2000495.004
West Building BY............................... Jan 16, 2017 11:27 AM
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275 e C ay
FAX: - Caf I I I I
-
Email: info@carmelclayparks.com Parks&Recreafion
NATIONAL GOLD MEDAL WINNER
CHRISTOPHER GAHL
12916 ANDOVER DRIVE AND ACCREDITED AGENCY
CARMEL, IN 46033
Prepared By: mandys
Customer ID: 15877
Primary phone: (317) 340-0407, Secondary phone: --
Refund Summary
Check: ($40.00) Check #
Total Received: ($40.00) Total Refund: ($40.00)
Transactions
Customer Description Item [Unit city Fee Charge
Catherine Gahl Escape Pass-Adult Monthly
Drive Action: P•" ;e-<> a,,ic Membership Each 1.00 $40.00 ($40.00)
12916 Andover D
�hlc�4,, c, Fee
Carmel,IN 46033 Expires: ]an 15, 201.7
Primary phone: (:317)340- Pass # 1.30016625: Catherine Gahl
0407 Thanks for your purchase! This pass will
Email:-- automatically renew each month, until cancellation
ID:4007 request is received. Cancellation request must be
received 7 days prior to billing date.
Total Charges ($40.00)
Total Payments ($40.00)
Balance $0
Federal Tax ID # 35-6000972
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https:Hanprod.active.com/carmelclayparks/servlet/ShowReceipt.sdi?receiptheader_id=417... 1/30/2017