308009 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 371506 CHECK AMOUNT: S««""«""235.00"
ONE CIVIC SQUARE KARON SMITH
CARMEL, INDIANA 46032 3662 E CARMEL DRIVE CHECK NUMBER: 308009
,y CARMEL IN 46033 CHECK DATE: 02/13/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2001642003 235.00 REFUNDS AWARDS & INDE
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2/1/2017 Receipt#2001642.003
Monon Community Center East Building Voucher #2001642.003
1235 Central Park Dr, East Feb 1, 2017 4:27 PM
Carmel, IN 46032
Phone: (317) 848-7275 Clay
FAX: --
Email: info@carmelclayparks,com karme
Parks & Recreation
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KARON SMITH
3662 E CARMEL DR
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CARMEL, IN 46033
Prepared By: leahw
Customel, ID: 39424
Primary phone: (616) 403-1068, Secondary phone:
Check: ($235.00) Check
Total Received: ($235.00) Total Refund: ($235.00)
Ellen Smith Lifeguarding -#373017-04 Activity Fee Each 1.00 s2.35.00 ($235.00)
"66". E Ca,m�-1 D.
Action: VM.hdra',v
i, Ira 4 60?'3 Withdrawal Date: Feb 1, 2W17
a I Y P 0'3-106 S
Meets: From April 3, 201*/to April 6, 2017
Each 1,1onday fi-01T!9ani to C)pm
<ic: :Tues!--,day from gam to 6pni
Each Wednesday from 9a.rr to 61.)m
Each Thursday from gam to bpm
Locatit)r: :2oofn c at Cofrlmuni"y
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Par'y Roow-1 A at
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Total Charges ($235.00)
Total Payments ($235.00)
Balance $0
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https://anprod.active.com/carmelclayparks/serviet/ShowReceipt.sdi?receiptheader—id=425071&originalversion=true&new—window=yes