HomeMy WebLinkAbout315268 8/29/2017 '4 f� CITY OF CARMEL, INDIANA VENDOR: 369074
"= CHECK AMOUNT: $********84.00*
Q ONE CIVIC SQUARE HONGYAN LU
SOUTH849 PARK RAIL DRIVE CHECK NUMBER: 315268
CARMEL, INDIANA 46032 CARMEL W
CHECK DATE: 08/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2002275003 84.00 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.
Lu, Hongyan Terms
849 South Park Trail Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/23/17 2002275003 Refund $ 84.00
Total $ 84.00
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
8/23/2017 Receipt#2002275.003
Monon Community Center East Building Voucher #2002275.003
1235 Central Park Dr. East Aug 23, 2017 12:35 PM
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Car el • Clay
Email: info@carmelclayparks.com
Parks&ReCFeation
HONGYAN LU NATIONAL GOLD MEDAL WINNER
849 SOUTH PARK TRAIL DRAIVE AND ACCREDITED AGENCY
CARMEL, IN 46032
Prepared By: jenniferb
Customer ID: 20215
Primary phone: (319) 541-5743, Secondary phone: (319) 594-0804
Refund Summary
Check: ($84.00) Check #
Total Received: ($84.00) Total Refund: ($84.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Angelina ran Carmel 20-Visit Pass 20-Visit Each 1.00 $84.00 ($84.00)
849 South Park Trail Draive Action: Membership Cancel Pass Fee
Carmel,IN 46032 Expires: Aug 23, 2017
Primary phone:(319)541-5743 Pass#000012786: Angelina Tan
Email:iv_hongyan@hotmail.com The 20-Visit Pass will rollover from school year-to-school year.
ID:20218
Total Charges ($84.00)
Total Payments ($84.00)
Balance $0
Federal Tax ID # 35-6000972
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AUG 2 4 2017
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