327510 07/18/18 4 �_C�q*f
[ CITY OF CARMEL, INDIANA VENDOR: 372583
ONE CIVIC SQUARE CHRIS COSSELL CHECK AMOUNT: $*******175.00*
�� CARMEL, INDIANA 46032 179 IRONWOOD COURT CHECK NUMBER: 327510
9;.�_.,,,�� CARMEL IN 46033 CHECK DATE: 07/18/18
[TON GO'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4358400 2000223030 175.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Cossell, Chris `3`�a�g�j Payee
179 Ironwood Ct
Carmel, IN 46033 In Sum of$ Purchase Order#
Cossell, Chris Terms
$ 175.00 179 Ironwood Ct Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#ornvolce nvolce Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1082-10 2000223030 4358400 $ 175.00 Board Members 6/26/18 2000223030 Refund $ 175.00
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
$ 175.00 Total $ 175.00
July 12,2018
I 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
Receipt#2000223.030 Page 1 of 1
c 4
Towne Meadow Elementary Vbu-076r- 20002223 030
10850 Towne Road "�
Jud 26,20182 374P1
Carmel, IN 46032
Phone: (317) 698-7950
FAX: --
Email: info@carmelclayparks.com Carmel ' Clay
Parks&Recreation
ct-IR�I�s cossE�� NATIONAL
AND ACCREDITED AGENCY
179;IiRO�WO®D CT
CRr ELI^N,46033
Prepared By: rebeccal
Customer ID: 19907
Primary phone: (317) 407-0005, Secondary phone: (317) 407-7192
Refund Summary
Total Received: ($175.00) T®tal Refurscl, {x ( 1,75 00'x)"`.
i
Transactions
Customer Description Item Unit Qty Fee Charge
Eli cossell Move to Improve(Wk 06-Ready for Rugby)#476009-06 Activity Fee Each 1.00 $175.00 ($175.00)
179 Ironwood Ct Action:Withdraw 1
Carmel,IN 46033 Withdrawal Date:Jun 26,2018
Primary phone:(317)407-0005
Email:teamcossell@indy.rr.com Meets: From July 9,2018 to July 13,2018
ID: 19909 Each Monday from 7:30am to 5:30pm
Each Tuesday from 7:30am to 5:30pm
Each Wednesday from 7:30am to 5:30pm
Each Thursday from 7:30am to 5:30prn
Each Friday from 7:30am to 5:30pm
Location: Clay Middle School(Door#7)at Clay Middle
School
Total Charges ($175.00)
Total Payments ($175.00)
Balance $0
1 Payment Schedule for Original Balance
of$138.75 J019
Due Amount Amount withdrawal Balance
Date Dere Paid Adjustment
Mar $46.25 $46.25 $0 $0 / 1
1,
2018
Apr $46.25 $46.25 $0 $0
1
2018 ��1
May $46.25 $46.25 $0 $0
1,
2018
Current Balance $0
Due Now $0
https:Hactivenet023.active.com/carmelclayparks/servlet/S howReceipt.sdi?receiptheader_id... 7/12/2018