316548 9/26/2017 1'`�,.c�gMF
„� CITY OF CARMEL, INDIANA VENDOR: 371970
ONE CIVIC SQUARE RUTH BASS CHECK AMOUNT: $*******240.00*
r� CARMEL, INDIANA 46032 13813 PERRIN DRIVE CHECK NUMBER: 316548
M�ION�.
CARMEL IN 46032 CHECK DATE: 09/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000154022 120.00 REFUNDS AWARDS & INDE
1081 4358400 2000155022 120.00 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.
Bass, Ruth Terms
13813 Perrin Dr Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/6/17 2000154022 Refund $ 120.00
9/6/17 2000155022 Refund $ 120.00
Total $ 240.00
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
9/6/2017 Receipt#2000154.022
Carmel Elementary School Voucher #2000154.022
101 4th Avenue SE Sep 6, 2017 10:31 AM
Carmel, IN 46032
Phone: (317) 258-8266
FAX- -- 1 9 C
Email: info carmelcla arks.com
Em @ Yp Carl 11
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,� Parks&RecFea-Lion
RUTH BASS RE.CEX ,F,D NATIONAL GOLD MEDAL WINNER
13813 PERRIN DR 5 E P 1 9 2017 AND ACCREDITED G Y
CARMEL, IN 46032
BY:.
Prepared By: alyssah
Customer ID: 16427
Primary phone: (317) 847-5687, Secondary phone: (317) 514-6927
F
Check: ($120.00) Check #
Total Received: ($120.00) Total Refund: ($120.00)
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Oliver Bass Carmel E-Karate #486001-02 Activity Fee Each 1.00 $120.00 ($120.00)
13813 Perrin Dr Action: Withdraw
Carmel,IN 46032 Withdrawal Date: Sep 6, 2017
Primary phone:(317)847-5687
Email:ruthmbass@gmail.com Meets: From September 5, 2017 to November 21, 2017
ID: 16430 Each Tuesday from 2:45pm to 3:45pm
Location: Carmel Elementary (Main Entrance) at Carmel
Elementary School
Total Charges ($120.00)
Total Payments ($120.00)
Balance $0
VOO
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9/6/2017 Receipt#2000155.022
Carmel Elementary School Voucher #2000155.022
101 4th Avenue SE Sep 6, 2017 10:33 AM
Carmel, IN 46032
Phone: (317) 258-8266
FAX: --
-MCI * clay
Email: info@carmelclayparks.com Cal
Parks&Recreation
RUTH BASS R�CreIFD NATIONAL GOLD MEDAL WINNER
13813 PERRIN DR SEP 7
AND ACCREDITED ITEC AGENCY
CARMEL, IN 46032
BY:
Prepared By: alyssah
Customer ID: 16427
Primary phone: (317) 847-5687, Secondary phone: (317) 514-6927
Check: ($120.00) Check #
Total Received: ($120.00) Total Refund: ($120.00)
._ W.._. .._.... . _
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Nicholas sass Carmel E-Karate #486001-02 Activity Fee Each 1.00 $120.00 ($120.00)
13813 Perrin Dr Action: Withdraw
Carmel,IN 46032 Withdrawal Date: Sep 6, 2017
Primary phone:(317)847-5687
Email:ruthmbassftmail.com Meets: From September 5, 2017 to November 21, 2017
ID: 16429 Each Tuesday from 2:45pm to 3:45pm
Location: Carmel Elementary(Main Entrance) at Carmel
Elementary School
Total Charges ($120.00)
Total Payments ($120.00)
Balance $0
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