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HomeMy WebLinkAbout325209 05/15/18 CITY OF CARMEL, INDIANA VENDOR: T360912 ® ONE CIVIC SQUARE HEATHER LARGURA CHECK AMOUNT: $ ....*374.00' �. CARMEL, INDIANA 46032 13150 BROOKSHIRE PARKWAY CHECK NUMBER: 325209 9 �ruiv.�O` CARMEL IN 46033 CHECK DATE: 05/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 2000238026 374.00 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. �00►��argura, Heather Payee ` 13150 Brookshire Parkway Carmel, IN 46033 In Sum of$ Purchase Order# Largura, Heather Terms $ 374.00 13150 Brookshire Parkway Date Due Carmel, IN 46033 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT ATITLE AMOUNT Invoice Invoice Description Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1082-5 2000238026 4358400 $ 374.00 Board Members 5/8/18 2000238026 Refund $ 374.00 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 $ 374.00 Total $ 374.00 May 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 ,A ) 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#2000238",026 Page 4 of-1" Mohawk Trails Elementary" V , u r#002s38`�2'�( 4242.E"126th.Street `� .. .. Carmel; IN 46033.. Ma Phone: (3"17) 418-8475 FAX: - Email: info@ caun6lclayparks.com " "" ay a P ork8r ton HES HER L'A1kGU A A L WINNEk . j13`1'50RBR"OO KS�H IRE_PARKWAY C4RMEL=;IN�46033 . �► ® � �. . E .". ': . Prepared' By:-c' d'ic MA'Y. g:201� . Customer ID:."22408 0 . - 05,.Secondary' phone: (317). 385-9906 .. "' •Primary'phone: (317) 385 '99 To T�t'alle RA-4 -. ,Total Received: ($374:00) " —7-7" ,d, Transacstion ' " Customer' Description . 'Item,": ''.Unit, Qty. Fee:Charge. ''. .: :. 39sephLargura. Mohawk Trails 20-Visit Pass :,20-Visit Each. 1:00:.$290.00 ($290:00) 1.3.150 Brookshire Parkway" .. Action: Membership cancel 'Pass Fee Carmel;IN 46033 Expires: May 8, 2018 Primary phone:(R7):s85. Pass#'1300,43847:Joseph l.argura 9905 The 20-Visit Pass will.rollover from school'year-to Email;, . . .. ,. school..year.... _ - . . . . - . . . . . . - heather.largura@.sbcglobal.net " "ID:22409 . .. .. Joseph LarguraMohawk Trails 207Visit Pass 20-Visit Pass.Each: 1.00- $84.00 ($84:00) . . 13150 Brookshire Parkway: "Action: Membership.Refund- Fee Carmel,IN 46033 :. Expires; Dec-11;2019'.' ; Primary phone:(317)385-. Pass# 130043847:"Joseph Largura_ 99o5 The 20-Visit Pass will:rollover from school year-to= Email: : school year: . . .. heather.la rgu ra@sbcgloba.L net'. ID:22409 . Total .Charges.($374:00) Total.Pa.yments ($37.4..OQ) :: .. . . " Balance 0 Federal Tax.I15-'#'.35-600.0972 . . . . . . . . . . . . . https://anprod:active:com/dar ,elcl4yparks/servlet/.ShoWR6cdiptadi?re6eiptheader.id_=7.149.. .5/8/2018