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327517 07/18/18
♦y V,�C,q,�P . J! CITY OF CARMEL, INDIANA VENDOR: 372585 ONE CIVIC SQUARE TIFFANY ETTER CHECK AMOUNT: $*******175.00* a°: CARMEL, INDIANA 46032 11623 BROOKS COURT CHECK NUMBER: 327517 °M,�TON�°` CARMEL IN 46033 CHECK DATE: 07/18/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 2003041003 175.00 REFUNDS AWARDS & INDE 39a5�6 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Etter, Tiffany Payee 11623 Brooks Court Carmel, IN 46033 In Sum of$ Purchase Order# Etter, Tiffany Terms $ 175.00 11623 Brooks Court 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 1082-14 2003041003 4358400 $ 175.00 Board Members 7/6/18 2003041003 Refund $ 175.00 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 $ 175.00 Total $ 175.00 July 10,2018 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 lel I claim paid motor vehicle highway fund Signature 20_ Accounts Payable Coordinator Clerk-Treasurer Title 7/6/2018 Receipt#2003041.003 Monon Community Center East Building vim ' n�ej-"WWi�®�®���® 1 003 x2`018 i0: 8 AM 1235 Central Park Dr. East Carmel, IN 46032 Phone: (317) 848-7275 FAX: -- Clay Email: info@carmelclayparks.com Pa:rks&R,e%r.":rea Lion NATIONAL GOLD MEDAL WINNER TiiFEANY 'ETi'Ei� -"` 116*23 IBROO - C©'U Rift _. AND ACCREDITED ARMEL .IN 46.033 JUL U 2U]8 Prepared By: bennyj Customer ID: 23328 �rlma`ry phon.. 17) 358-6064, Secondary phone: (317) 564-8011 Che"ck��� �'n (�$�1t75 00,)� Cheeky Total Received: ($175.00) To a't Refund:` 0$175.®`0) Transactions Customer Description I1zem Unit Qty Fee Charge Tiffany Etter Refund balance Refund Each 1.00 $175.00 ($175.00) 11623 Brooks Court Action: Refund Balance balance Carmel,IN 46033 Primary phone: (317)358-6064 Email:indytiff@gmail.com ID:23328 Total Charges ($175.00) -Total Payments ($175.00) Balance $0 Tk https:Hanprod.active.com/carmelclayparks/servlet/processAdminLogin.sdi;jsessionid=o4l6O77udvzO12g5x4pm1 ez3h 1/1