HomeMy WebLinkAbout321109 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 372206
ONE CIVIC SQUARE MICHAEL STARESNICK CHECK AMOUNT: $***'***'26.00*
x? a, CARMEL, INDIANA 46032 2954 BROOKS BEND DR CHECK NUMBER: 321 109
CARMEL IN 46032 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000748004 26.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Staresnick, Michael 59az)oPayee
2954 Brooks Bend Dr 7"
Carmel, IN 46032 In Sum of$ Purchase Order#
Staresnick, Michael Terms
$ 26.00 2954 Brooks Bend Dr Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#MTLE AMOUNT Invoice Invoice Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1092 2000748004 4358400 $ 26.00 Board Members 1/16/18 2000748004 Refund $ 26.00
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
$ 26.00 Total $ 26.00
January 17,2018
� 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
Cost distribution ledger classification if � ��WI1/ with IC 5-11-10-1.6
claim paid motor vehicle highway fund Signature 20
Accounts Payable Coordinator Clerk-Treasurer
Title
Receipt#2000748.004 Page 1 of 1
Monon Community Center � 'I
West Building
1195 Central Park Dr. West Jan'16ti{20�r]8247yPM .y
= �
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- armel
Clay
Email: info@carmelclayparks.com Parks&Recrea-Lion
AND ACCREDITED AGENCY
w ext � ,� TIL
M�hCHAELSTA,�RES�NIGK
2 4.�BErt9_OKS BEND DR.•.
G�I2MEINk4;6032�, h
Prepared By: jeffe
Customer ID: 2306
Primary phone: (317) 582-1579, Secondary phone: --
FRefund Summary `
Check: ($26.00) Check #
Total Received: ($26.00) Total Refund: ($26.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Louise Taylor Senior Monthly(Legacy) Pass Membership Each 1.00 $26.00 ($26.00)
2954 Brooks Bend Dr. Action: Membership Cancel Fee
Carmel,IN 46032 Expires: ]an 15, 2018
Primary phone:(317)582- Pass# 130021801: Louise Taylor
1579 Thanks for your purchase!This pass will
Email:-- automatically renew each month, until cancellation
ID:2307 request is received. Cancellation request must be
received 7 days prior to billing date.
Total Charges ($26.00)
Total Payments ($r2a6 ®01
Balance $0
Federal Tax ID # 35-6000972
JAN 1 7 ZO18
BY:
https:Hanprod.active.com/carmelclayparks/servlet/ShowReceipt.sdi?receiptheader_id=660... 1/16/2018