HomeMy WebLinkAbout333700 12/19/18 �/ � CITY OF CARMEL, INDIANA VENDOR: 373013
i,"® �, CHECK AMOUNT: $********28.00*
ONE CIVIC SQUARE MATTHEW BALLER
s, /�/a� CARMEL, INDIANA 46032 14425 HOWE DRIVE CHECK NUMBER: 333700
9M��, CARMEL IN 46032 CHECK DATE: 12/19/18
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2003177003 28.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 39 "�3o Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Baller, Matthew Payee
14425 Howe Dr
Carmel, IN 46032 In Sum of$ Purchase Order#
Baller, Matthew Terms
$ 28.00 14425 Howe Dr Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or Invoice Invoice Description
Dept# INVOICE NO. ACCT#MTLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-1 2003177003 4358400 $ 28.00 Board Members 12/11/18 2003177003 Refund $ 28.00
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
$ 28.00 Total $ 28.00
December 17,2018
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
20_Accounts Payable Coordinator Clerk-Treasurer
Title
-Receipt#2003-177..003 Page l-of l',
Monon Community Center East'- Voucher
Building.. 1 20
pec n 1 i�8�46�AM�
1235. Central:Park Dr. East
Carmel, IN 46032
Phone:.{:317) 848-7275
arff
Email: info@carmelclayparks:com-:
rs&R' ' ionecreat
NATIONAL- GOLD ED AL �k INNEk
14425 H01NE ®R AD E �.Y
� � ��� �. .
CAR -�wI`N 46032
Prepared By: jenniferb
Customer ID:-13459.
'Primary phone: (317):372;-1008,. Secondary phone: -=
Refund SUmma.ry
"
heck: . 28.00),:Chec
Total Received;: . ($28:Q0) Total Refund: ($28.00) '.
Transactions. : .
Customer: Description Item. '. Unit ' Qty' F_ee Charge'.
Greta caller, Carmel 20-Vislt.Pass
20-Visit , . ' Each 1.00 ' $28.00 ($28:00).
14425 Howe Dr Action:'Membership Cancel
Pass Fee
Carmel;IN 46032 . Expires: Dec 11,2018
Primary phone:(317):372- Pass.#'130,035127:_Greta Baller
1008 The 20-Visit Pass will rollover from school:year-to-
Email:mlballerl9@yahoo.com school year.:
ID: 17946 .
Total•Charges ($.28,00)
ti. Total Payments ($28.00).
E l .l.:. 0.1.8 . ..' ri Balance, $0
:Federal Tax LD #.35-6000972. .
BY:
httpsJ/anprod;active.com/carmelclayparks/servlet/processReeeiptPayment.sdi, : 12/1112018