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314511 8/1/2017 l;; ���"'• CITY OF CARMEL, INDIANA VENDOR: 371857 0 � ONE CIVIC SQUARE GEOFF GALLIGHER CHECK AMOUNT: $********40.00* ,3q CARMEL, INDIANA 46032 360 MOUNDS CT CHECK NUMBER: 314511 +y, CARMEL IN 46032 CHECK DATE: 08/01/17 ITON C� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 2000026005 40.00 REFUNDS AWARDS & INDE 0 0 | @ f @ R Sf k CD CN E / \ a) -0 / CD § \ k k 2 k CU q f § ) k 04 cu ƒ a / . k 0 2 a S Cf a) CL \ 0 0 0 , cu a) 2 E .0 a > 5 2 0 3 ( % g : a a 0 k 3 f Ta E R r e S 2 U- § g 0 0 < /ci \ m \ \ LU CD © / o k CD 0 § k _k_ cu � Q e $ ) R 0 $ ƒ 0 § $ \ krn LL 0 0 k k E \ . @ . w © § E k k 0 k § / / k Co % U / � ) ƒ ® L- 2 0a CN f0 Af S L) C $ Receipt#2000026.005 Page 1 of 1 The Waterpark Voucher #2000026.005 1195 Central Park Dr. West Jul 19, 2017 3:13 PM Carmel, IN 46032 Phone: (317) 848-7275 FAX: -- Email: carmel info@carmelclayparks.com rrk &Recreation NATIONAL GOLD MEDAL WINNER GEOFF GALLIGHER 360 MOUNDS CT AND ACCREDITED AGENCY CARMEL, IN 46032 2 c� Prepared By: jeffe Customer ID: 16342 Primary phone: (317) 430-3521, Secondary phone: -- Refund Summary Check: ($40.00) Check # Total Received: ($40.00) Total Refund: ($40.00) Transactions Customer Description Item Unit Qty Fee Charge Dee Dee Galligher Escape Pass-Adult Monthly Membership Each 1.00 $40.00 ($40.00) 360 Mounds Ct Action: Membership Cancel Fee Carmel,IN 46032 Expires: Jul 3, 2017 Primary phone:(317)430- Pass# 1.300521.52: Dee Dee Galligher 3521 Thanks for your purchase!This pass will Email:-- automatically renew each month, until cancellation ID: 16343 request is received. Cancellation request must be received 7 days prior to billing date. Total Charges ($40.00) Total Payments ($40.00) Balance $0 Federal Tax ID # 35-6000972 �L f�92a / https://anprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 7/19/2017