HomeMy WebLinkAbout321128 01/25/18 CITY OF CARMEL, INDIANA VENDOR: 372208
ONE CIVIC SQUARE VENKATA SIRISHA BHAGAVATULA CHECK AMOUNT: $********88.00*
CARMEL, INDIANA 46032 12682 MOONSEED DR CHECK NUMBER: 321128
CARMEL IN 46032 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2002477003 88.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Bhagavatula, Venkata Sirisha 3rg�$ Payee
12682 Moonseed Drive
Carmel, IN 46032 In Sum of$ Purchase Order#
Bhagavatula, Venkata Sirisha Terms
$ 88.00 12682 Moonseed Drive Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/rITLE AMOUNT Invoice Invoice Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1096-10 2002477003 4358400 $ 88.00 Board Members 1/12/18 2002477003 Refund $ 88.00
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
$ 88.00 Total $ 88.00
January 19,2018
1 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 7
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
1/12/2018 Receipt#2002477.003
Monon Community Center East Building
Voucher #200-2-41M.
1235 Central Park Dr. East )an-12,2018 7:58-AM
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Clay
Email: info@carmelclayparks.com
Parks;&Recreation
VENKATASI,iR4ISHAxBHAGA lA
NATIONAL GOLD MEDAL WINNER
1x268_ M00NSEE—.Q= RIVE' AND ACCREDITED AGENCY
CARMEL
_,IN 4603.2' '
Prepared By: leahw
Customer ID: 21577
Primary phone: (317) 987-2404, Secondary phone: (317) 987-2404
Check: ($'88 00)Check:#- ____ ___-•
Total Received: ($88.00) Total Refund: ($88.00)
BHANU SAI KANDARPA Private Swlm Lessons 8 x 30 Membership Each 1.00 $88.00 ($88.00)
12682 MOONSEED DRIVE Action:Membership Refund Fee
Carmel,IN 46032 Expires: Nov 21, 2018
Primary phone:(317)987-2404 Pass» 130058438: BHANU SAI KANDARPA
Email:sai.kanderpa@amail.com Thanks for your purchase! Renewals are easy.Just stop by any
ID:21578 MCC desk or call 317.573.52491
Total Charges ($88.00)
Tatal�PaymFents�(�88 00}. ,
Balance �-'"$0
Federal Tax ID # 35-6000972
JAN 1 9 2018
BY:
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