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314677 08/11/17 �r CAA ''•� CITY OF CARMEL, INDIANA VENDOR: 371678 ONE CIVIC SQUARE MARY JEANNE GALDABINI-MCKEON CHECK AMOUNT: $'".......8.00' CARMEL, INDIANA 46032 7352 B LIONS HEAD DRIVE CHECK NUMBER: 314677 INDIANAPOLIS IN 46260 CHECK DATE: 08/11/17 �rori DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 2002230003 8.00 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. 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 8/2/17 2002230003 Refund $ 8.00 Total $ 8.00 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 Center East Building Voucher #2002230.003 1235 Central Park Dr. East Aug 2, 2017 6:08 PM Carmel, IN 46032 Phone: (317) 848-7275 FAX: --Email: info@carmelclayparks.com I �Carm e Clay 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 6 r lV Check: ($8.00) Check # Total Received: ($8.00) Total Refund: ($8.00) 3ennifer Galdabini-McKeon Adaptive Open Flow#178052-20 Activity Fee Each 1.00 $8.00 ($8.00) 7352 B Lions Head Drive Action:Withdraw Indianapolis,IN 46260 Withdrawal Date: Aug 2,2017 Primary phone:(317)253- 2353 Meets: August 15, 2017 Email:mjgmckeon@gmail.com Tuesday from 7:15pm to 8:45pm ID:43324 Location: Flowrider at Monon Community Center Waterpark Total Charges ($8.00) Total Payments ($8.00) Balance $0 (qucd4 iJr. iitl. t, � l