HomeMy WebLinkAbout326224 06/12/18 CITY OF CARMEL, INDIANA VENDOR: 372480
CHECKAMOUNT: $*******210.00*
(9,
ONE CIVIC SQUARE NERISSA BAUERCARMEL, INDIANA 46032 12630 RHETT STREET CHECK NUMBER: 326224
CARMEL IN 46032 CHECK DATE: 06/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000238031 210.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 3 rl a 2D Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Bauer, Nerissa 1 Payee
12630 Rhett Street
Carmel, IN 46032 In Sum of$ Purchase Order#
Bauer, Nerissa Terms
$ 210.00 12630 Rhett Street Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or Invoice Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-10 2000238031 4358400 $ 210.00 Board Members 5/31/18 2000238031 Refund $ 210.00
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
$ 210.00 Total $ 210.00
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 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
5131/2018 Receipt#2000238.031
A
West Clay ElementaryVAUT,ffifiev +}"^ �1 ,&
3495 W 126th Street ` PM;,
Carmel, IN 46032ay=X31; 2`'
Phone: (317) 698-4966
FAX: --
Email: info@carmelclayparks.com k.�armd
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Parks&Kecreation
NNATIONAL GOLD MEDAL WINNER
12630TT S,TR�E'E }7
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AND ACCREDITED AGENCY
JUN 0 4 2010
]BY:..............................
Prepared By: jessb
Customer ID: 21805
Primary phone: (317) 371-3983, Secondary phone: (317) 973-5499
_._........._._-_.-....._..........__.........__..__..._____...__._.............._........_.__..........
_____..
=R,e n Summary
Check: ($210:00) Check=#-
Total Received: ($210.00) Totali R`efuunl '° $"210 ®°®} OW
Transactions
_...__.. _.._...._rc...._...._._..___............._._......______._..._.__....___._._......_........._...._.........................-----._..__...._._..........._..................._.........................._........._.__.__._�..._
Ciumtomer Description UeFnn �snit Oty 'F-se. Charge
Jackson Bauer West Clay 20-Visit Pass 20-Visit Each 1.00 $210.00 ($210.00)
12630 Rhett Street Action: Membership Cancel Pass Fee
Cannel,IN 46032 Expires: May 31, 2018
Primary phone:(317)371-3983 Pass#000013961: Jackson Bauer
Email:nsbauer@gmail.com The 20-Visit Pass will rollover from school year-to-school
ID:21807 year.
Total Charges ($210.00)
Total Payments ($210.00)
Balance $0
Federal Tax ID # 35-6000972
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