HomeMy WebLinkAbout327653 07/20/18 CITY OF CARMEL, INDIANA VENDOR: 372626
ONE CIVIC SQUARE SARAH KEEHN CHECK AMOUNT: $********74.00*
CARMEL, INDIANA 46032 53300 CATALINA CT. CHECK NUMBER: 327653
SOUTH BEND IN 46635 CHECK DATE: , 07/20/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4358400 2000991006 74.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# �1 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Keehn, Sarah au'`"� Payee
53300 Catalina Ct
South Bend, IN 46635 In Sum of$ Purchase Order#
Keehn, Sarah Terms
$ 74.00 53300 Catalina Ct Date Due
South Bend, IN 46635
ON ACCOUNT OF APPROPRIATION FOR
109 Morton Center
PO#or Invoice Invoice Description
Dept# INVOICE NO. ACCT WnTLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1096-35 2000991006 4358400 $ 74.00 Board Members 6/25/18 2000991006 Refund $ 74.00
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
$ 74.00 Total $ 74.00
July 19,2018
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
Receipt#200099-1_.006 Page 1 off ,
i .
Administrative Offices VOL
1411 E. :1.16th. Street u
. . . .
J FM 201;8 2 42 PM
Carmel; IN 46032
Phone: (317) 848-7275
FAX:
Email info@carrrielcfayparks.com
rm. _
Pays r ti n'.
' . ' .. .' '
SARAUKKEEHN
NATIONAL.GOlDMEDAE IIVNR.
53300 CA=ASL NA C�sTT . .
S
IT. BEIMN•46635 : DAC-C R'E I T E D �-E N.C:Y.
. Prepared By:Jordanh
Customer ID: 82822
_
Primary phone: (574).850-4500, Secondary phone:.(574) 850-1732
Refurid Summ -
Y"... Check.: ($74. ) Check #'. .
Total. d.. . ($74.00) Total Ref—d ($--7-4':00) "
Transactions
Customer._ Description = . .Item Unit Qty Fee Charge
BrodyReehn T=131rds T,Ba11 #.185008-05-" Activity Fee:Each- 1.00 $74:00 ($74.00).
-18459 Harvest Meadows Dr Action:Withdraw
w Withdrawal Date: Jun 25',-2018
.Westfield;IN 46074
Primary phone:(574)sso---Meets: From-June 19; 2018 to July 24, 2018
asoo Each Tuesday.from:5:30pm to 6:30pm
Email: " Location:;West Park Field 2'at West Park
skeehh113@9mail.com.
ID:82823.:
Total Charges ($74:00):
Total Payments:.($7.4.:.00)..
Balance., $0
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LT 2201
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