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333309 12/11/18
%�gyp'`� CITY OF CARMEL, INDIANA VENDOR: 372993 ONE CIVIC SQUARE DEWAYNE HERBERT CHECK AMOUNT: $********18.00* �9\ j?�; CARMEL, INDIANA 46032 13338 E LETTS LANE CHECK NUMBER: 333309 �i�TON�a CARMEL IN 46074 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2000231030 18.00 REFUNDS AWARDS & INDE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 5jRq a3 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Herbert, Dewayne Payee 13338 E Letts Lane Carmel, IN 46074 In Sum of$ Purchase Order# Herbert, Dewayne Terms $ 18.00 13338 E Letts Lane Date Due Carmel, IN 46074 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 1081-9 2000231030 4358400 $ 18.00 Board Members 11/20/18 2000231030 Refund $ 18.00 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 $ 18.00 Total $ 18.00 December 6,2018 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#2000231.030 Page 1 of 1 Towne Meadow Elementary Voucher 10850 Towne Road N,ou�20, 20'1�8 1:37 PM Carmel, IN 46032 Phone: (317) 698-7950 FAX: -- Email: info@carmelclayparks.com Cai--*melay rks&Recreation ©E_ZVE4 RB'E'' NATIONAL GOLD MEDAL WINNER K-3QQ8 EVETfS LANE , CFtMELAN�D ACCREDITED AGENCY N46`074 Prepared By: rebeccal Customer ID: 54229 Primary phone: (317) 935-9660, Secondary phone: (941) 993-5714 Refund Summary Check: 0$1$;00) Checki# Total Received: ($18.00) Total Refund: ($18.00) Transactions Customer Description Item Unit Qty Fee Charge Dewayne Herbert Refund balance Refund Each 1.00 $18.00 ($18.00) 13338 E Letts Lane Action:Refund Balance balance Carmel,IN 46074 Primary phone:(317)935- 9660 Email:deherber@simon.com ID:54229 - Total Payments ($18.00) Balance $0 a OR032018 a https:Hactivenet023.active.com/carmelclayparks/servlet/activenetO23.active.com/carmelcla... 12/4/2018