321091 01/25/18 Coq
.± CITY OF CARMEL, INDIANA VENDOR: 371680
'rr ONE CIVIC SQUARE KATHY LOSING CHECK AMOUNT: $********16.00*
CARMEL, INDIANA 46032 10400 WHITE OAK DRIVE CHECK NUMBER: 321091
CARMEL IN 46032 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2002485003 16.00 REFUNDS AWARDS & INDE
�7
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Leising, Kathy Payee
10400 White Oak Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
Leising, Kathy Terms
$ 16.00 10400 White Oak Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Invoice Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1096-70 2002485003 4358400 $ 16.00 Board Members 1/15/18 2002485003 Refund $ 16.00
I 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
$ 16.00 Total $ 16.00
January 17,2018
I 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
Cost distribution ledger classification if 4k Lm ma
claim paid motor vehicle highway fund Signature -,20—
Accounts
20Accounts Payable Coordinator Clerk-Treasurer
Title
Receipt#2002485.003 Page 1 of 1
Monon Community Center East Voucher 2R(X2-'4~85r.V=3
Building Jann 1S;-2TWIT;5 7 3TTM�
1235 Central Park Dr. East _ - -= ,
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carl
Email: info@carmelclayparks.com
PaFks&Recreation
HY LE s
NATIONAL GOER MEDAL WINNER
1 0O UCih{�ItTE
AND': ACCREDITED AGENCY
C-ARMEL IN �;60�32�
Prepared By: michelley
Customer ID: 23353
Primary phone: (317) 844-5202, Secondary phone: --
Refund Summary
heck: ($16.00) Check #
Total Received: ($16.00) Total Refund: ($16.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Taylor Leising Adaptive Fantastic Friday#388037-01 Activity Each 1.00 $16.00 ($16.00)
10400 White Oak Drive Action:Withdraw Fee
Carmel,IN 46032 Withdrawal Date: Jan 15, 2018
Primary phone:(317)
844-5202 Meets: January 12, 2018
Email: Friday from 5:30pm to 8:30pm
rleising@giesting.com Location:
ID:23352 Party Room B at Monon Community Center West Building
Party Room A at Monon Community Center West Building _
Total Ch'a"rig's$16t OU) �~
Total Payments ($16.00)
Balance $0
JAN 1 7 2018
https://activenet023.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 1/15/2018