314548 8/8/2017 ��+,,f VENDOR: 371678 16.00
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CITY OF CARMEL, INDIANA MARY JEANNE GALDABINI-MCKEON CHECK AMOUNT: $*******
•• ONE CIVIC SQUARE CHECK NUMBER: 31454
:' ?� CARMEL, INDIANA 46032
INDIANAP7352 B OLIS S HEAD
NA46260 E CHECK DATE: 08/08117
DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER 2N00O122200 BER AMOUNT
00 REFUNDS AWARDS & INDE
1096 4358400
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.
Galdabini-McKeon, Mary Jeanne Terms
7352 B Lions Head Drive Date Due
Indianapolis, IN 46260
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/26/17 2002222003 Refund $ 16.00
Total 1 $ 16.00
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
Monon Community CenteP1,-q FRI »F Voucher #2002222.003
1235 Central Park Dr. East ' ' ''
Jul 26, 2017 6:41 PM
Carmel, IN 46032
Phone: (317) 848-7275 JUL 3 U 2011
FAX: -- Clay Email: info@carmelclaypark -pmt-�=:.-_,_- __-_ arm
Parks&Recreation
MARY JEANNE GALDABINI-MCKEON NATIONAL GOLD MEDAL WINNER
7352 B LIONS HEAD DRIVE
INDIANAPOLIS, IN 46260 AND ACCREDITED AGENCY
Prepared By: michelley
Customer ID: 43323
Primary phone: (317) 253-2353, Secondary phone: (317) 253-2353
Refund Summary
Check: _($16.00) Check #
Total Received: ($16.00) Total Refund: ($16.00)
Transactions
Customer Desci-iption Iters) Unit Qty Fe=e Charge
3enniferGaidabini-McKeon Adaptive Fantastic Friday#178035-04 Activity Fee Each 1.00 $16.00 ($16.00)
7352 B Lions Head Drive Action:Withdraw
Indianapolis,IN 46260 Withdrawal Date: Jul 26,2017
Primary phone:(317)253-2353
Email:mjgmckeon@gmail.com Meets: August 18,2017
ID:43324 Friday from 5:30pm to 8:30pm
Location: Party Room B at Monon Community Center
West Building
Party Room A at Monon Community Center West Building
Total Charges ($16.00)
Total Payments ($16.00)
Balance $0
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