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315836 9/12/2017-VOIDED
�,+u,C�M�`! �;; o CITY OF CARMEL, INDIANA VENDOR: 371678 CHECK AMOUNT: $-*-**-**'8.00* ONE CIVIC SQUARE MARY JEANNE GALDABINI-MCKEON @' INDIANAPOLIS ra; CARMEL, INDIANA 46032 7352 6 LIONS HEAD DRIVE CHECK NUMBER: 315836 «h row�. INDIANAPOLIS IN 46260 CHECK DATE: 09/12/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4358400 2002295003 8.00 REFUNDS AWARDS & INDE CD 0 k CO 0 k / D 0 g 0 g k K) w � ® Q / k k 0 o c O CA) k & § 0 © z Co 3 R a m ' ® E ( # S § 0 O % o T a E 2 0 0 / % # 0 2 2 I \ L" 0 0) CD 0 / = k \ \ 0 � 2 / { S ® m 7 o R7ƒ mQ 0 I }C CD P 2 O § 2 FO go CD \ 0 2 S a ] �__ \ E D \ 0 Km @ o CD & CD k 2 m \ ? 2 0 0 Cl) k cn0 CD m — D CD m / @ ¢/ CL k » 2 k Cr m § S w m k 0 CD a C 7 g E . 0 - . 0 / \ k CD 30 17 a CL M CD o = |0 o Receipt#2002295.003 Page 1 of 1 Monon Community Center East Voucher #2002295.003 Building Sep 5, 2017 12:30 PM 1235 Central Park Dr. East Carmel, IN 46032 Phone: (317) 848-7275 FAX: -- Carm 1 9 Cla Email: info@carmelclayparks.com PaFks&ReCFeation NATIONAL GOLD MEDAL WINNER MARY JEANNE GALDABINI- AND ACCREDITED AGENCY MCKEON 7352 B LIONS HEAD DRIVE INDIANAPOLIS, IN 46260 Prepared By: michelley Customer ID: 43323 Primary phone: (317) 253-2353, Secondary phone: (317) 253-2353 Refund Summary Check: ($8.00) Check # Total Received: ($8.00) Total Refund: ($8.00) Transactions Customer Description Item Unit Qty Fee Charge Jennifer Galdabini-McKeon Adaptive Open Flow #178052-21 Activity Fee Each 1.00 $8.00 ($8.00) 7352 8 Lions Head Drive Action: Withdraw Indianapolis,IN 46260 Withdrawal Date: Sep 5, 2017 Primary phone:(317)253- 2353 Meets: August 21, 2017 Email: Monday from 5:30pm to 7pm mjgmckeon@gmail.com Location: ID:43324 Flowrider at Monon Community Center Waterpark Total Charges ($8.00) Total Payments ($8.00) ���� Balance $0 Ioq U � 5 https:Hactivenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 9/5/2017