HomeMy WebLinkAbout333320 12/11/18 4�q
CITY OF CARMEL, INDIANA VENDOR: 370723
• ONE CIVIC SQUARE ROSS MILLER CHECK AMOUNT: $********10.00*
CARMEL, INDIANA 46032 620 w HAWTHORNE ST CHECK NUMBER: 333320
s,�TON. ZIONSVILLEIN 46077 CHECK DATE: 12/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000458029 10.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
`� Miller, Ross Payee
. 520 W Hawthorne Street
3" Y Zionsville, IN 46077 In Sum of$ Purchase Order#
Miller, Ross Terms
$ 10.00 520 W Hawthorne Street Date Due
Zionsville, IN 46077
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
Po#or
Invoice Invoice Description
Dept# INVOICE NO. ACCT#frrrLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-8 2000458029 4358400 $ 10.00 Board Members 12/5/18 2000458029 Refund $ 10.00
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
$ 10.00 Total $ 10.00
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
20Accounts Payable Coordinator Clerk-Treasurer
Title
Receipt.#200,0458.029 Page a'of l
Smoky Row Elementary V0dC�1e1 2.�_0045&1.Q29 '
.900-w 136th Street pec52+018 1'1'�2OAM
Carmel; IN 46032
Phone:.(317) 418=6917
FAX: --
Email; info@carr-elclayparks.com r �.
C.
-a
-eat '
. .PaFks&' - Re&r' .. i on
Ross N, IILLER '� : +I�1YIA!'. 7dDfi�IEA�L �iVN1
. . 52� 1ltl HAUVTHORNE-�STREE�T
2I0. I�S�VI E;_IN 46077 ` ', . .-C�E D T,E� E '
-Prepared-.By:_alisonb
Customer ID::. 29.588 ..
primary phone:.(317) 590=5387, Secondary-phone: (317)-.571-4084x1743 .
Refund Summa.ry. .
•heck x$10':00) Check #.
Total_Received:. ($10'.00). Tbial Refund; ($10.00).
Transactions
Customer_ Description . Item- Unit.: =Qty Fee Charge
Ross Miller " Refund balance-. Refund ' _Each 1.00. $10:00-($10.00).
520 W.Hawthorne'St_reet, Action:Refund Balance
balance
Zionsville,IN 46077
Primary phone:(317).590= . .
5387. ..
Emaili,.
rmiller@ccsAl2.in.us
ID:'29588 4°�
n 4 x
Total Charges ($10.:00)
o .5 20.1 Total Payments ($10..00)
A.
��: -- Balance $0
`.
https://anprod:active.com/dann6lclayparks/servlet/ShoWRecdiptadi?receiptlieader_id=863:., 12/5/2018