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HomeMy WebLinkAbout321091 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