310147 04/11/17 Q
CITY OF CARMEL, INDIANA VENDOR: 364292ONE CIVIC SQUARE DAN KELLY CHECK AMOUNT: $""" "*'37.00CARMEL, INDIANA 46032 147 HARROWGATE CHECK NUMBER: 310147
CARMEL IN 46033 CHECK DATE: 04/11/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000536004 37.00 REFUNDS AWARDS & INDE
0
o -u 0
020 =r
ao 2 CD
> z
k 2 q n X
k ) O -4 £
7 0 0 o c § _�
3 U m f m O
CD
p fu
0 k kCD
/ §¢ �C —
CD
k
\ O $ 2 w S 9 m
g CD
# g 0 O �4
/ r, m 2 CD
C
.69 �
2 0
2
� �
\ 3
Q Cl
a ] E 3 D
o 7 M = m
R a ƒ ƒ $
< _ -
E g M ] E
2 0 m 3
0 k \
7
Ch 2
' D 2 / W K
En En c _ E I »
CrY_) Rt ca
m § Q 2
` 0 mk 0
7 C » = E
m E
EL \ \ \ �
) (
. 0 R
Receipt#2000536.004 ----------_- Page 1 of 1
APR 052017
lvlc,nr n Community Center 'voucher # 2000536.004
West Building � "'v� Mar 22, 2017 7:18 €'M
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- y,
Email: info@carmeldayparks.coParks& Recreation
m
NIEDAL WINNER
KELLY
147HAAN ACC DITED AGENCY
147 RROWGATE DR.
CARMEL, IN 46033
Prepared By: prestons
Customer ID: 12540
Primary phone: (317) 354-6211, Secondary phone: --
Refurld sumnlary
Check: ($37.00) Check #
Total; Received., ($37.00) Total Retun d: ($37.00)
Ckistotner Descriptioll lt,e rl;l Orlit Qty Fee Charge .
Daniel Keay Escape Pass-Senior Monthly Membership Each 1.00 $37.00 ($37.00)
147 Harrowyate Dr. A-ztlon . , Fee
Carmel,1N 46033 Expires: Mar?l,2017
Primary phone:(317)354- Piss* __. : Daniel Kelly
6211 Thanks for your purc:iasel This pass will
Email:-- automatically renew each month,until cancellation
1D:12540 request I.-received.Cancellation request must be
received 7 days prior to billing date.
Total Cha liVes ($37.00)
Tata! Payments ($37.00)
Balance $0
Federal Tax ID # 35-6000972
Laouip �1 4/L4/ 1/3
101 Z, 3CO J'46-b
https://activenet023.active.conVcarmelclayparks/servlet/ShowReceipt.sdi?receiptheader_id=... 4/3/2017