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314144 07/31/17 4*d..4�gwF �;, �� CITY OF CARMEL, INDIANA VENDOR: 371858 ONE CIVIC SQUARE CRAIG FITZPATRICK CHECK AMOUNT: $*r r r r w**72.00* s a CARMEL, INDIANA 46032 20 PHILLIPS PL CHECK NUMBER: 314144 +y_ ZIONSVILLE IN 46077 CHECK DATE: 07/31/17 h�ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 2000026005 40.00 REFUNDS AWARDS & INDE 1092 4358400 2000027005 32.00 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. Fitzpatrick, Craig Terms 20 Phillips PI Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/19/17 2000027005 Refund $ 32.00 Total—T—$ 32.00 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 Receipt#2000027.005 Page 1 of 1 .. w The Waterpark Voucher #2000027.005 1195 Central Park Dr. West Jul 19, 2017 3:18 PM Carmel, IN 46032 Phone: (317) 848-7275 FAX: -- Email: Carmel Clay info@carmelclayparks.com Parks&Recr �� NATIONALLMEDAL CRAIG FITZPATRICK ACCREDITED 20 PHILLIPS PL. ZIONSVILLE, IN 46077 Prepared By: jeffe V 4t Customer ID: 9802 Primary phone: (765) 426-3387, Secondary phone: -- Refund Summary Check: ($32.00) Check # Total Received: ($32.00) Total Refund: ($32.00) Transactions Customer Description Item Unit Qty Fee Charge Craig Fitzpatrick Escape Pass-Corporate Adult Monthly Membership Each 1.00 $32.00 ($32.00) 20 Phillips Pl. Action: Membership Cancel Fee Zionsville,IN 46077 Expires: Jul 15, 2017 Primary phone:(765)426- Pass# 130016797: Craig Fitzpatrick 3387 Thanks for your purchase!This pass will Email: automatically renew each month, until cancellation craigafitzpatrick@gmaii.com request is received. Cancellation request must be Io:9802 received 7 days prior to billing date. Total Charges ($32.00) Total Payments ($32.00) Balance $0 Federal Tax ID # 35-6000972 JUL 242011 BY: Li CDl 4v"'�a https:Hanprod.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 7/19/2017