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321344 01/30/18
'Cqq CITY OF CARMEL, INDIANA VENDOR: 372220 d ONE CIVIC SQUARE ERIC NANTZ CHECK AMOUNT: $*******386.00* CARMEL, INDIANA 46032 6547 RED CEDAR WAY CHECK NUMBER: 321344 9•� CARMEL IN 46033 CHECK DATE: 01/30/18 DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2002515003 386.00 REFUNDS AWARDS & INDE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 5rl 0a�o��/;o Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Nantz, Eric C� Payee 6547 Red Cedar Way Carmel, IN 46033 In Sum of$ Purchase Order# Nantz, Eric Terms $ 386.00 6547 Red Cedar Way Date Due Carmel, IN 46033 ON ACCOUNT OF APPROPRIATION FOR _ 108 ESE pO#crnvolce nvolce Description Dept# INVOICE NO. ACCT#liITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-7 2002515003 4358400 $ 386.00 Board Members 1/24/18 2002515003 Refund $ 386.00 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 $ 386.00 Total $ 386.00 January 24,2018 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 ` t /f��/j/!Y claim paid motor vehicle highway fund Signature -.20_ Accounts Payable Coordinator Clerk-Treasurer Title Receipt#2002515.003 Page l of l Monon Conmmunity Center East: 011Cflel' ..YS.©IN3 . Building. 03 ENO 2.018 :.1235.'Ceritral:.Park:Dr.'East: 11:49 AM Carmel, IN 46032. Phone: (.317) 848 7275 FAX: - n 1. �4 C la - • Email.:.:info.@ca.rmelcla Yparks:com : . on- creati ks& lib ' :. NATIONAL .GOLD MEDAL WINNER E=R+IiC NANTZ 6547 RED CE=DAR WAY At D . A C R a:I T E D. . G E• C.Y ' CARMEL, IIN 46033 Prepared By jenniferb'_. Customer ID: 76282 Primary phone: :(.26.9) '599=9859,.Secondary.phone: (269).352-6573 Refpns1 Ch Summary eck: ($386.00 C«heck # „ Total Received.:: . ($3.86:00):: Total. Refund:. Transactions Customer: _ ®escription' 1tem. . Unit_ Qty Fee:Char9e: Eric Ivantz Refund balance. " Refund Each LOU'.$386:00•($386:00). 6547 Red Cedar way --. . ..Action: Refund Balance: balance.' Calrmel;IN 46033 Primary phone:(269).599 _9859. .. Email,eric.naniz@9mail.com IDM 76282 . j JAN 4:4 2010 . Total Char:ges:•($3.86..00) . Tota Payments,:( 386.00). >I�Y: Ba ante; . . . $0 l 1• . ; httpsJ/anprod:actiwe:com/carme161barks/servlet/processReceiptPaymentadi : 1/24/2018