HomeMy WebLinkAbout328465 08/08/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 372675
ONE CIVIC SQUARE KATIE UNFLAT CHECK AMOUNT: $********89.42*
CARMEL, INDIANA 46032 11508 wOODVIEw EAST DR. CHECK NUMBER: 328465
CARMEL IN 46032 CHECK DATE: 08/08/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1092 4358400 2000897004 89.42 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# y7 b 9 15 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Unflat, Katie c ) Payee
11508 Woodview East Dr
Carmel, IN 46032 In Sum of$ Purchase Order#
Unflat, Katie Terms
$ 89.42 11508 Woodview East Dr Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Invoice Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1092 2000897004 4358400 $ 89.42 Board Members 7130/18 2000897004 Refund $ 89.42
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
$ 89.42 Total $ 89.42
August 2,2018
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 IPACMII*�
claim paid motor vehicle highway fund Signature .,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
ti
Receipt#2000897.004 Page 1 of 1
M®non Community Center west Voucher #20001897 0;04
_-
Building ]u1 30, 2018 7.12
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX: -- cd,r,11 ive- 1 Clay
Email: info@carmelclayparks.com ff1%
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(4L MEDAL WINNER
t08VUO DVIEW EAST
AND ITER AUNCY
D R,
r CAF�NIEL, IN 46032 --
Prepared By: mandys
Customer ID: 94511
Primary phone: (317) 846-7742, Secondary phone: --
Refund Summary
Check: ($89.42) Check #
Total Received: ($89.42) C"T;otal`Itefund:
'transactions
Customer Description Item Unit Qty Fee Charge
Katie Unflat Household Monthly Pass Membership Each 1.00 $89.42 ($89.42)
11508 Woociview East Dr Action: Membership Cancel Fee
Carmel,IN 46032 Expires:Jul 27, 2018
Primary phone:(317)846- 15 Passes Sold
7742 Pass# 000048153: Chris Hardt
Email:kaymr@sbcglobal.net Pass# 130075087: Brian Unflat
ID:94511 Pass# 130075061: Chloe Unflat
Pass# 130075022: Elle Unflat
Pass# 130075055: Jackson Unflat
Pass# 130075023: Katie Unflat
Pass# 130070112: Shaun Hardt
Thanks for your purchase!This pass will
automatically renew each month, until cancellation
request is received. Cancellation request must be
received 7 days prior to billing date.
Total Charges ($89.42)
Total Payments ($89.42)
Balance $0
Federal Tax ID # 35-6000972
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https://anprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 7/30/2018