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HomeMy WebLinkAbout333341 12/11/18 CITY OF CARMEL, INDIANA VENDOR: 372991 ONE CIVIC SQUARE KAREN VOHRA CHECK AMOUNT: $********42.00* CARMEL, INDIANA 46032 2419 DEREK DRIVE CHECK NUMBER: 333341 CARMEL IN 46032 CHECK DATE: 12/11/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1092 4358400 2000967004 42.00 REFUNDS AWARDS & INDE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 31p�I Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Vohra, Karen Payee 2419 Derek Drive Carmel, IN 46032 In Sum of$ Purchase Order# Vohra, Karen Terms $ 42.00 2419 Derek Drive Date Due Carmel, IN 46032 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#or INVOICE NOACCT#IrITLE AMOUNT Invoice Invoice Description . Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1092 2000967004 4358400 $ 42.00 Board Members 11/17/18 2000967004 Refund $ 42.00 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 $ 42.00 Total $ 42.00 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 l with IC 5-11-10-1.6 Cost distribution ledger classification if �J' claim paid motor vehicle highway fund Signature -,20_ Accounts Payable Coordinator Clerk-Treasurer Title Receipt#2000967.004 Page 1 of 1 Monon Community Center Voucher Ia2�1J�rF6.7 '0 West Building N14 PM 1195 Central Park Dr. West ' Carmel, IN 46032 (Duplicate Receipt) Phone: (317) 848-7275 FAX: - IL ff - Email: info@carmelclayparks.com Calw-mei Clay Parks&Recreation KAREN`\/OHRA, :. tIATIONAL GOLD MEDAL WINNER 24 1MDEREKDRlifffE AND ACCREDITED AGENCY CARMEL, tN� 32, ' Prepared By: prestons Customer ID: 79187 Primary phone: (317) 504-9549, Secondary phone: -- Refund Summary Check. Total Received: ($42.00) TotalaRe'frundy Transactions I Customer Description Item Unit Qty Fee Charge E!aina vohra Adult Monthly Pass Membership Each 1.00 $42.00 ($42.00) 2419 Derek Drive Action: Membership Cancel Fee Carmel,IN 46032 Expires: Nov 14, 2018 Primary phone:(317)504- Pass# 130061700: Elaina Vohra 9549 Thanks for your purchase!This pass will Email: automatically renew each month, until cancellation karenvohral0@gmail.com request is received. Cancellation request must be ID:79189 received 7 days prior to billing date. Total Charges ($42.00) Total (Payments ($42.00) Balance $0 Federal Tax ID # 35-6000972 Iq{p�� �q�- T ��' Gam+' DEC 032018 BY: https://activenet023.active.com/carmelclayparks/servlet/ShowReceipt.sdi?receiptheader_id... 12/4/2018