319737 12/15/2017 CITY OF CARMEL, INDIANA VENDOR: 371680
5 a it ONE CIVIC SQUARE KATHY LEISING CHECK AMOUNT:} $4*...**"11.00*CARMEL, INDIANA 46032 10400 WHITE OAK DRIVE CHECK NUMBER: 319737
CARMEL IN 46032
M;roN�o• CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2002440003 11.00 REFUNDS AWARDS & INDE
Voucher No. Warrant No.
Leising, Kathy Allowed 20
10400 White Oak Drive
Carmel, IN 46032
In Sum of$
$ 11.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 2002440003 4358400 $ 11.00 1 hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
December 8, 2017
1PAN"V%VU
Signature
$ 11.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
.12/4/2017. Receipt#2002440:003.
Monon.Community Center.Ea§t Building �_ VOUCI1eZOO2
DE
.C. 2017
1235 Central.Park Dr. East.
.
�' 0'95, 2097 I Dec ;10 FM
:Carmel, IN. 46032 :_
Phone: (317) 848-7275
FAX; - la ,
Email:.info@.Carmel clay par:ks.com:.- - -a
rm
ac.r .r s. -10
Afig H.YJ LEMSh I+NG
MF1HTff1@'TAffl4jQ:hV� DA . .D 111 0- .. .�N� .
. .
Rrepared.By'::miclielley.
Customer ID -23353.
Primary phone:'(3;17).844-5-202'-Secondaryphone.: --
Refund-Summary. •.
Check: . . : . ($11.00) Check.# •
Total Recehied.: : ($11.00) Total;Wund:;: . -($11:00.) .
Trafrsactions
Customer.. ®escr°iotion . Iter: .. Unit- Qty._ Fee -Charge
Tayio�seising.• Adaptive Adult Karaoke Night:4278044-03. Activity Fee' Each 1.00 -:$11.00 ($1.1.00):
10400,White Oak Drive Action•.Withdraw
Carmel,IN.46032. Withdrawal:Date::.Dec 4;.2017.. —
Primary phone:(317);844-5202. .
Email rleising@giesting.'com meets,:DeCember.8, 2017:.
ID:23352 . . .. Friday from 6p mi to 8prn . . ..
Location: Art Studio aY Monon Community Center East Building..
T.ota1 Charges _$-11.00)
asymeist . ($11.00
Balance:
V
1
t
�2t�[
https://activ6hetO23.active.com/carmelclayp6rks/servlet/progpssAdminLbgiri.sdi:iseisionid=6ksliso2dwdofl uxemn52mgr 1/1