313589 7/10/2017 CITY OF CARMEL, INDIANA VENDOR: 371758
ONE CIVIC SQUARE CORTNEY STEWART CHECK AMOUNT: S""''''12.50'
?� CARMEL, INDIANA 46032 208 VALI COURT CHECK NUMBER: 313589
'M, pN INDIANAPOLIS IN 46280 CHECK DATE: 07/10/17
DEPARTMENT ACCOUNT PO NftJMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2002120003 12.50 REFUNDS AWARDS & INDE
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Receipt#2002120.003 2 0191 Ii Page 1 of 1
Jul\' "i
Monon Community Center East Voucher #2002120.003
Building Jun 29, 2017 4:25 PM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carl1 IOU
Email: info@carmelclayparks.com
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PaFks&RecreaAlion
NATIONAL GOLD MEDAL L INNE C
CORTNEY STEWART
208 VALI COURT AND ACCREDITED AGENCY
INDIANAPOLIS, IN 46280
Prepared By: shaunal
Customer ID: 3919
Primary phone: (317) 610-7170, Secondary phone: --
Refund Summary
Check: _ _._...
($12.50) Check #
Total Received: ($12.50) Total Refund: ($12.50)
Transactions
___ _ .___.....__._ _ ___..__. .._._._. __.. __ _..___ _..___._._.._------
Customer
__Customer Description Item Unit Qty Fee Charge
Lyric Stewart Escape Pass-Youth Monthly Membership Each 1.00 $16.67 ($16.67)
208 Vali Court Action: Membership Refund Fee
Indianapolis,IN 46260 Expires:Jul 27, 2017
Primary phone: (317)610- Pass #000032859: Lyric Stewart Scholarship Each 1.00 $4.17 $4.17
7170 Thanks for your purchase! This pass will (c) 75%
Email:-- automatically renew each month, until cancellation
ID: 15560 request is received. Cancellation request must be
received 7 days prior to billing date.
Total Charges ($12.50)
Total Payments ($12.50)
Balance $0
Federal Tax ID # 35-6000972
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https:Hanprod.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 6/29/2017