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CITY OF CARMEL, INDIANA VENDOR: 371880 CHECKAMOUNT: $********99.00*
ONE CIVIC SQUARE STEPHEN HILLCARMEL, INDIANA 46032 3645 DOLAN WAY CHECK NUMBER: 314680
CARMEL IN 46074 CHECK DATE: 08/11/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1094 4358400 2000659004 99.00 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.
Hill, Stephen Terms
3645 Dolan Way Date Due
Carmel, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8//7 2000659004 Refund $ 99.00
Total $ 99.00
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#2000659.004 Page 1 of 1
NU6092011
Monon Community Center Wes - oucher #2000659.004
Building BY: ""' Aug 7, 2017 10:35 PM
1195 Central Park Dr. West (Duplicate Receipt)
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- el
4oClay
Email: info@carmelclayparks.com Carm
PaFks&ReCFeation
STEPHEN HILL NATIONAL GOLD MEDAL WINNER
3645 N AND ACCREDITED AGENCY
CARMELEL,, IN 46600 74
Prepared By: mandys
Customer ID: 65507
Primary phone: (317) 733-9296, Secondary phone: --
Refund Summary
Check: ($99.00) Check #
Total Received: ($99.00) Total Refund: ($99.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Stephen Hill Credit for Hill and Lee Families#9266-Weekend Weekend Each 1.00 $92.52 ($92.52)
3645 Dolan Wa Rental Fee Rental Fee
Carmel,IN 46074 Action: Refund Permit Charges
Primary phone:(317)733- Location: Cabana #08 at Monon Cmty Ctr Waterpark
9296 Orig Receipt#1056118.001
Email:thx115s@yahoo.com Permit# 9266
ID:65507
Subtotal ($92.52)
IN Sales Tax included ($6.48)
Total Charges ($99.00)
Total Payments ($99.00)
Balance $0
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https:Hanprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 8/7/2017