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308465 02/23/17 �( 4.� CITY OF CARMEL, INDIANA VENDOR: 371515 ONE CIVIC SQUARE ANURADHA VENKATESH CHECK AMOUNT: $*******297.00` �� =q CARMEL, INDIANA 46032 14536 HEATHER KNOLL PKWY CHECK NUMBER: 308465 ,,�,_ CARMEL IN 46074 CHECK DATE: 02/23/17 .,:run c°' DEPARTMENT' ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 2000510004 297.00 REFUNDS AWARDS & INDE Voucher No. Warrant No. Venkatesh,Anuradha Allowed 20 14536 Heather Knoll Pkwy Carmel, IN 46074 'in Sum of$ $ 297.00 ON ACCOUNT OF APPROPRIATION FOR 109 -MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1092 2000510004 4358400 $ 297.00 1 hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except February 14, 2017 Signature $ 297.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 7/8/2017 Receipt#2000510.004 Monon Community Center West Building 1195 Central Park Dr. Westq `,�V F-4D F��aFet��8, 2017 2 Q51�PM Carmel, IN 46032 Phone: (317) 848-7275 F E 6 1 3 2017 Car el Clay Email. info@carmelclayparks.c :.............................. Parks&R ,_ ,� NATIONAL GELD MEDAL WINNER 1U ' . DHA VENIKA1TESH 14 6:HEATHERKNoLLPKo Y AND ACCREDITED AGENCY Prepared By: jeffe Customer ID: 27874 -- Primary phone: (574) 281-2752, Secondary phone: (574) 281-2451 Refund Summary Check ($29700)Check # Total Received: ($297.00) Total Refun d ($297.00) Transactions Customer Description Item Unit Qty Fee Charge Anuradha Venkatesh Escape Pass-Household Monthly Membership Each 1.00 $99.00 ($99.00) 14536 Heather Knoll pkwy Action: Membership Refund Fee Cannel,IN 46074 Expires:Jan 1,2017 Primary phone: (574) 281-2752 15 Passes Sold Email: anush.venky@gmail.com Pass# 130050629: Baskar Venkatesh ID: 27874 Pass# 130050564:Anuradha Venkatesh Pass# 130050697: Sal Venkatesh Thanks for your purchase!This pass will automatically renew each month,until cancellation request is received. Cancellation request must be received 7 days prior to billing date. Anuradha Venkatesh Escape Pass-Household Monthly Membership Each 1.00 $99.00 ($99.00) 14536 Heather Knoll pkwy Action: Membership Refund Fee Carmel,IN 46074 Expires: Feb 1,2017 Primary phone: (574)281-2752 15 Passes Sold Email: anush.venky@gmail.com Pass # 130050629: Baskar Venkatesh ID: 27874 Pass# 130050564:Anuradha Venkatesh Pass# 130050697:Sal Venkatesh Thanks for your purchase!This pass will automatically renew each month,until cancellation request is received. Cancellation request must be received 7 days prior to billing date. Anuradha Venkatesh Escape Pass-Household Monthly Membership Each 1.00 $99.00 ($99.00) 14536 Heather Knoll pkwy Action: Membership Cancel Fee Carmel,IN 46074 Expires: Feb 1,2017 Primary phone: (574)281-2752 15 Passes Sold Email: anush.venky@gmail.com Pass# 130050629: Baskar Venkatesh ID: 27874 Pass# 130050564:Anuradha Venkatesh Pass# 130050697:Sai Venkatesh Thanks for your purchase!This pass will automatically renew each month,until cancellation request is received. Cancellation request must be received 7 days prior to billing date. Total Charges ($297.00) LO#al Paymentsm'($297�006) Balance $0 Federal Tax ID # 35-6000972 .2� l2,1 +-� https://anprod.active.com/carmelclayparks/servlet/processAdminLogin.sdi,jsessionid=dt643godvgdy7su5bgk7rc9l 1/1