314674 08/11/17 9CITY OF CARMEL, INDIANA VENDOR: 370063
�.: t. CHECK AMOUNT: $**......25.00*
ONE CIVIC SQUARE ELLIE CRANE
s _� CARMEL, INDIANA 46032 1049 BRISTOL ROAD CHECK NUMBER: 314674
9 INDIANAPOLIS IN 46280 CHECK DATE: 08/11/17
'M�tOM-.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2002233003 25.00 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.
Crane, Ellie Terms
1049 Bristol Road Date Due
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/7/17 2002233003 Refund $ 25.00
Total $ 25.00
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#2002233.003 Page 1 of 1
Monon Community Center East Voucher #2002233.003
Building Aug 7, 2017 12:22 PM
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Car el * Clay
Email: info@carmelclayparks.com
PaFks&ReCFeation
NATIONAL GOLD MEDAL WINNER
ELLIE CRANE
1049 BRISTOL ROAD AND ACCREDITED AGENCY
INDIANAPOLIS, IN 46280
Prepared By: michelley
Customer ID: 22686
Primary phone: (317) 501-8358, Secondary phone: --
Refund Summary
Check: ($25.00) Check #
Total Received: ($25.00) Total Refund: ($25.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Londa crane Adaptive Cardio Dance#278070-01 Activity Fee Each 1.00 $25.00 ($25.00)
1049 Bristol Road Action:Withdraw
Indianapolis,IN 46280 Withdrawal Date: Aug 7, 2017
Primary phone:(317)501-
8358 Meets: From September 11, 2017 to October 2, 2017
Email: Each Monday from 9am to 9:45am
ncrane128@sbcgloba1.net Location: Multipurpose Room East A at Monon
ID: 13410 Community Center East Building
Total Charges ($25.00)
Total Payments ($25.00)
Balance $0
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