HomeMy WebLinkAbout313665 7/18/2017 ��'`° CITY OF CARMEL, INDIANA VENDOR: 371801
°�� t` CHECK AMOUNT: $**.....175.00*
ONE CIVIC SQUARE KIRSTEN RUBIN
rQ CARMEL, INDIANA 46032 5922 SILAS MOFFITT WAY CHECK NUMBER: 313665
CARMEL IN 46033 CHECK DATE: 07/18/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 2002138003 175.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Rubin, Kirsten Terms
5922 Silas Moffitt Way
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/5/17 2002138003 Refund $ 175.00
Total Is 175.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10.1.6
, 20
Clerk-Treasurer
7/5/2017 w % Receipt#2002138.003
Monon Community Center East Building Voucher #2002138.003
1235 Central Park Dr. East Jul 5, 2017 3:29 PM
Carmel, IN 46032
Phone: (317) 848-7275 -mel * Clay
FAX: -- Cai
Email: info@carmelclayparks.com
Parks Recreation
KIRSTEN RUBIN NATIONAL GOLD MEDAL WINNER
5922 SILAS MOFFITT WAY AND C R E D TED AGENCY
CARMEL, IN 46033
Prepared By: bennyj
Customer ID: 23815
Primary phone: (312) 813-1322, Secondary phone: (312) 952-9833
.�_ ., .. ...
Check: ($175.00) Check #
Total Received: ($175.00) Total Refund: ($175.00)
Sam Rubin Outdoor Explorers (Wk 10-Passport to Adventure) #476003-10 Activity Each 1.00 $175.00 ($175.00)
5922 Silas Moffitt way Action: Withdraw Fee
Carmel,IN 46033 Withdrawal Date: Jul 5, 2017
Primary phone:(312)813-
1322 Meets: From July 31, 2017 to August 4, 2017
Email:klfroberChotmaiLcom Each Monday from Barn to 5:30pm
1D:23820 Each Tuesday from Sam to 5:30pm
Each Wednesday from Sam to 5:30pm
Each Thursday from Sam to 5:30pm
Each Friday from Sam to 5:30pm
Location:
Multipurpose Room East B at Monon Community Center East Building
Total Charges ($175.00)
qm: Total Payments ($175.00)
IR
Balance $0
JUL 072017
BY: „r�..� - .6 �ufo
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