HomeMy WebLinkAbout332820 11/27/18 y ur_Cilgy
./ CITY OF CARMEL, INDIANA VENDOR: 372954
I: ONE CIVIC SQUARE QUINN BENSI CHECK AMOUNT: $******4 252.00*
CARMEL, INDIANA 46032 1093 eE iv Ka SHORE DR CHECK NUMBER: 332820
CHECK DATE: 11/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 20000343025 252.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Bensi, Quinn `v I Payee
10935 E Lakeshore Dr.
Carmel, IN 46033 In Sum of$ Purchase Order#
Bensi, Quinn Terms
$ 252.00 10935 E Lakeshore Dr.. Date Due
Carmel, IN 46033
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
1081-4 20000343025 4358400 $ 252.00 Board Members 11/7118 20000343025 Refund $ 252.00
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
$ 252.00 Total $ 252.00
November 21,2018
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#20,00343.025 Page 1 of 1
Forest Dale Elementary Voucher 02 OZOIIa_C.5615u;n.
10721 W Lakeshore Drive ov7,r, 208 1 30PM
Carmel, IN 46033
Phone: (317) 258-6504
FAX: --
Email: info@carmelclayparks.com
C, 'arnbrie , 1,ay
Parks&Rk,,creaflon
QUINN`B) NSIv' ' NAIR "An L GOLP
10 M_5 ` L`AKESN�FZE,
N _
Prepared By: valeskas
Customer ID: 22441
Primary phone: (317) 565-9529, Secondary phone: (317) 397-1217
Refund Summary
4E ? M25W0),?Ch. kJ#111
Total Received: ($252.00) otal of 7 M-11s ($12u.L0;0
t
Custome,r Description 1 tcnn Lp'nit Qty Fee Charge
Quinn Bensi Refund balance Refund Each 1.00 $252.00 ($252.00)
10935 E.Lakeshore Dr. Action: Refur;r BalanCc balance
Carmel,IN 46033
Primary phone:(317)565-
9529
Email:bensi@att.net
ID:22441
Total Charges ($252.00)
Total Payments ($252.00)
Balance $0
NOV .2 1 2018
BY:
https:Hactivenet023.active.com/carmelclayparks/servlet/ShowReceipt.sdi?receiptheader_i... 11/20/2018