HomeMy WebLinkAbout321558 02/13/18 c"!
CITY OF CARMEL, INDIANA VENDOR: 372245
ONE CIVIC SQUARE CHRIS WARRENCHECK AMOUNT: S****`***42.00'
CARMEL, INDIANA 46032 4838 BROADWAY ST. CHECK NUMBER: 321558
INDIANAPOLIS IN 46205 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000755004 42.00 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# 3 as 45 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Warren, Chris Payee
4838 Broadway Street
Indianapolis, IN 46205 In sum of$ Purchase Order#
Warren, Chris Terms
$ 42.00 4838 Broadway Street Date Due
Indianapolis, IN 46205
ON ACCOUNT OF APPROPRIATION FOR
109-Monon Center
PO#or Invoice nvolce Description
Dept# INVOICE NO. ACCT#/rITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1092 2000755004 4358400 $ 42.00 Board Members 2/2/18 2000755004 Refund $ 42.00
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
$ 42.00 Total $ 42.00
February 8,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
�� Nn n� ` with IC 5-11-10-1.6
Cost distribution ledger classification if /,w r/
claim paid motor vehicle highway fund Signature -,20—
Accounts
20_Accounts Payable Coordinator Clerk-Treasurer
Title
Receipt#2000755.004 Page 1 of 1
Monon Community Center West "
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Building .
1195 Central Park Dr. West
�Feb�2 °2018, 12 4];�PM '
Carmel, IN 46032
Phone: (317) 848-7275 r
FAX: - I I le.1 Clay
-
Email: info@carmelclayparks.com i
Parks,&Recreation
NATIONAL GOLD MEDAL WINNER
CHR'ISINRR ' 4 7rfl
4,8 , BROADWAY q STREET AND ACCREDITED AGENCY
I $13ANAPOU, M5
1 .
Prepared By: jeffe
Customer ID: 79220
Primary phone: (317) 979-3152, Secondary phone: (773) 668-5943
Refund Summary
Check: ($42.00) Check #
Total Received: ($42.00) Total ^endt �,
Transactions
Customer Description Item Unit Qty Fee Charge
Chris warren Adult Monthly Pass Membership Each 1.00 $42.00 ($42.00)
4838 Broadway Street Action: Membership Cancel Fee
Indianapolis,IN 46205 Expires: Feb 1, 2018
Primary phone:(317)979- Pass# 130061973: Chris Warren
3152 Thanks for your purchase!This pass will
Email: automatically renew each month, until cancellation
warsportscorp@msn.com request is received. Cancellation request must be
ID:79220 received 7 days prior to billing date.
Total Charges ($42.00)
Total Payments ($42.00)
Balance $0
Federal Tax ID # 35-6000972
FEB 072018
https:Hanprod.active.com/cannelclayparks/servlet/processReceiptPayment.sdi 2/2/2018