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317428 10/11/2017
CITY OF CARMEL, INDIANA VENDOR: 357888 Q ONE CIVIC SQUARE CARMEL CLAY PARKS & RECREATION CHECK AMOUNT: $.......598.25* CARMEL, INDIANA 46032 1411 E 116TH ST CHECK NUMBER: 317428 CARMEL IN 46032 CHECK DATE: 10/11/17 rnN ` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 2017-081REV 598.25 OTHER EXPENSES 0Q n \ CL c n $ « m O _ � § 2 k m � ° * > m m # 2 / 2 0 % � A 0 # z w 2 e 2 c = 2 « _ 0 % o_ S_ ® 00 k D00 0 m / ^ k A q CL CL 900 a _0 \ m } E -n / -n -n q / § § in m m fk ^ 4t CL CL > ® CL R w 7 2 } _ > -n O CD C ° 0 0 | E 7 c m CD S a z to > 3 9 I 0 c 0 i 0 / \ I o m / k D / / k o @ $ F m at » E E § { § k 9 ' + _ I R - 0Co $ @ K § \ + C' , , 0 m m o E a ° ID k CL ${ / 2 ; § J 0 4 E 7 k ƒ § & 2 o / f 7 k CD w $ m 0 \ k% - m k C -4 # - K ® D $ \/© - / \ 0 & ( � z CD nC0 } o E ] } km ƒ C o # 0 Z {% D° \ F § § 5E % \ # CA0 ®f G \ }_� E ) k �� / q 6 rL r D a� = e ® g / CD 0 K Q / } 0 U CD c \ \ 7 7 % ; C % CD ƒ_ E @ ° o 0 \ CD\ M -n / \ CD / w } CDCD § , \ $ U \ $ CD CD \ E / CD 00 K) Z ° \ Carmel • Clay Invoice Par s&Recreation Date Invoice# 1411 E 116th Street 10/10/2017 2017-081 REV Carmel, IN 46032 Bill To City of Carmel Jim Spelbring One Civic Square Carmel, IN 46032 Due Date 11/10/2017 Quantity Description Rate Amount Monon Community Center Corporate Passes for September 2017 27 Adult Pass 8.00 216.00 1 Youth Pass 5.00 5.00 0 Senior/Military Pass 7.50 0.00 19 Household Pass 19.75 375.25 2 Senior(Legacy) Pass 5.00 10.00 Credit for overpayment on 9/05/17 August Invoice#2017-070REV -8.00 -8.00 Submitted To OCT 17 2017 Clerk Treasurer Remit to: Carmel Clay Parks&Recreation Total Due $598.25 1411 E. 116th St. Carmel, IN 46032 Thank you! 10/5/2017 Receipt#2000189.030 Towne Meadow Elementary Voucher #2000189.030 10850 Towne Road Oct 5, 2017 9:22 AM Carmel, IN 46032 Phone: (317) 698-7950 FAX: -- • Clay Email: info@carmelclayparks.com CaF e Parks&Recreation KEREN AYALON NATIONAL GOLD MEDAL WINNER 3490 CARMEL, IN 46INVERNESS BLVD AND ACCREDITED AGENCY CARMEL, IN 46032 Prepared By: rebeccal Customer ID: 20017 Primary phone: (347) 203-2203, Secondary phone: (317) 819-6501 ( Otllrlt� �i?FI1lI'�EsC} Check: ($172.00) Check # Total Received: ($172.00) Total Refund: ($172.00) Transaction customer Des riptiun Item Unit Qty Fee charge YuvaiAyaion Towne Meadow 20-Visit Pass 20-Visit Each 1.00 $172.00 ($172.00) 3490 Inverness Blvd Action: Membership Cancel Pass Fee Carmel,IN 46032 Expires: Oct 5, 2017 Primary phone: (347)203-2203 Pass# 000012656: Yuval Ayalon Email:keren.ayalon@gmail.com The 20-Visit Pass will rollover from school year-to-school ID:20020 year. Total Charges ($172.00) Total Payments ($172.00) Balance $0 Federal Tax ID # 35-6000972 REM7"T7.T7-,A-,1D uC 'IU52011 Jam. BY: https://anprod.active.com/carmeiclayparks/servlet/ShowReceipt.sdi?receiptheader id=614110&originalversion=true&new window=yes 1/1