HomeMy WebLinkAbout321516 02/13/18 '-
�a�...._',,f CITY OF CARMEL, INDIANA VENDOR: 372244
d ONE CIVIC SQUARE MARY BROADHURST CHECK AMOUNT: $********65.00*
CARMEL, INDIANA 46032 735 WINTER WAY CHECK NUMBER: 321516
v CARMEL IN 46032 CHECK DATE: 02/13/18
M rtiri.�o:
DEPARTMENT ACCOUNT PO NUMBER_ _ INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2002538003 65.00 REFUNDS AWARDS & INDE
J
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 3 r/a n� Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Broadhurst, Mary (l 01 Payee
735 Winter Way
Carmel, IN 46032 In Sum of$ Purchase Order#
Broadhurst, Mary Terms
$ 65.00 735 Winter Way Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#ornvolce Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1096-22 2002538003 4358400 $ 65.00 Board Members 2/6/18 2002538003 Refund $ 65.00
1 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
$ 65.00 Total $ 65.00
February 8,2018
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
1 with IC 5-11-10-1.6
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20
Accounts Payable Coordinator Clerk-Treasurer
Title
Receipt#2002538.003 Page 1 of 1
Monon Community Center East Voucher 4�; Oki
Building
Feb,6- 9'0'fO,-T'-2T'A-lVl
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- Carmel * Clay
Email: info@carmelclayparks.com
rarks&R,ecreation
NATIONAL GOLD ME AL WINNER
%'�R*"YkoB T
jr '*"(" AND ACCREDITED AGENCY
I TOT
�7a 5 1 N P.��
17 ,.XAII,,�-1
-�
COMM.I ER-
�L'CIAN 4603
Prepared By: marye
Customer ID: 81974
Primary phone: (708) 280-4931, Secondary phone:
Refund Summary
Total Received: ($65.00) Total
$6 5
Transactions 'zT —71
Customer Description Item Unit Qty Fee Charge
Michael Lotz Spartan Training #384316-02 Activity Each 1.00 $90.00 ($90.00)
735 Winter Way Action:Withdraw - Fee
Carmel,IN 46032 Withdrawal Date: Feb 6, 2018
Primary phone:(708)710- Reward Each 1.00 $25.00 $25.00
8152 Meets: From February 6, 2018 to March 1, 2018 Card
Email:mlotz35@gmall.com Each Tuesday from 5:30am to 6:30am
ID:81975 Each Thursday from 5:30am to 6:30am
Location:
Gymnasium A at Moron Community Center West Building
Total Charges ($65.00)
Total Payments ($65.00)
q 6s� Balance $0
'.IJ21-
F
B 0 7 2018
..............--
https:Hanprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 2/6/2018