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326220 06/12/18
y e�.C�Nb ,�. CITY OF CARMEL, INDIANA VENDOR: 372479 ONE CIVIC SQUARE MARTHA ALTAMIRANO CHECK AMOUNT: $*******129.50* �� CARMEL, INDIANA 46032 1434 MONROE DRIVE CHECK NUMBER: 326220 M,�To�` CARMEL IN 46032 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2002908003 129.50 REFUNDS AWARDS & INDE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# nI Of I n -�1 G� Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Altamirano, Martha I Payee 1434 Monroe Drive Carmel, IN 46032 In Sum of$ Purchase Order# Altamirano, Martha Terms $ 129.50 1434 Monroe Drive Date Due Carmel, IN 46032 ON ACCOUNT OF APPROPRIATION FOR 108 ESE POO or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Invoice Description Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-6 2002908003 4358400 $ 129.50 Board Members 5/31/18 2002908003 Refund $ 129.50 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 $ 129.50 Total $ 129.50 June 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 with withIC5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title Receipt#2002908..003 Page 4.'of 1' MAY1` 1 201 BY Monon Community Center °"",** Ol!IGfj r 2A©V029- $ { 03 Building. Ma }ti31; 201812. 8 PM. . ::1235.Central:Park.Dr. East Carmel, IN 46032 . .. Phone: '(.317) '84 -7275 FAX: - arn - Email: info@carrrielclayparks.com.: S Rib crea -ion.. . NATIONAL L MEDAL 'WINNER.. . ' AR�HA A�LTA�IZ"x�ANS© ANR 'ACCREDITED � '�°' .. . 1 34 MON.RO DRI+UE„ Prepared-By jenniferb Customer ID:-59905 Primary phone:. :(317) 702:7-174,.Secondary.phone: (317) 702-7981 Refund SUmma.ry Check: ($129:.5D):.Check #, Total Received: ($1.29;50) Ti91A. :Refund $1�29:50') Transactions " Customer Description Iteitti. : Unit. . -Qty Fee:.Charge MarthaAl,tamieano _- 'Refund balance Refund:- -Each 1:00:".$129.50 ($129:50) 1434 Monroe Drive _ -_ Action: Refund Balance. balance. Carmel;IN 46032 . Primary phone:(317).702 7174. Email;. mpaltamirano3@9mail:com ID:-59905 Total Charges .($129.50,)' . . Tota l':P ayments,€ }129'50 Balance $01.. 1` https://anprod:active:com/carmelclayparks/servlet/processReceiptPayment.sdi 5%31a2Q 18 .