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HomeMy WebLinkAbout333795 12/21/18 CITY OF CARMEL, INDIANA VENDOR: 373017 ONE CIVIC SQUARE IL. DEPT CHILDREN FAMILY SERVICES CHECK AMOUNT: S"k*******5.31 CARMEL, INDIANA 46032 406 E MONROE ST CHECK NUMBER: 333795 STATION 410 CHECK DATE: 12/21/18 SPRINGFIELD IL 62701 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4358400 2000235030 5.31 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. IL Dept. Children Family Services ?�©) Payee 406 E Monroe St., Station 410 Springfield, IL 62701 In Sum of$ Purchase Order# IL Dept. Children Family Services Terms $ 5.31 406 E Monroe St., Station 410 Date Due Springfield, IL 62701 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Invoice Description Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-9 2000235030 4358400 $ 5.31 Board Members 12/10/18 2000235030 Parent Request $ 5.31 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 $ 5.31 Total $ 5.31 December 20,2018 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 Towne Meadow Elementary VOUe a-#2 00 -35.0�:30 10850 Towne Road "` �- � � '{ r ' ��� Carmel, IN 46032 DeFc�10, 20 8 YT—W,AM }' Phone: (317) 698-7950 FAX: -- Email: info@carmelclayparks.com Pal-ks&Recrea"Lion IL E;EPT CHILDREN FAIa'IILYFSER` ICESNATIONAL GOLD MEDAL W-1,14HER 406 E- ONIOU 'ROErST STAT =�}10 AND ACCREDITED AGENCY SP NMGFTEL-'_D,,;IL62701' Prepared By: rebeccal Customer ID: 76007 Primary phone: (123) 456-7456, Secondary phone: -- Refund Summary ,- k x($5;3,14).Checkw#;, i Total Received: ($5.31) Total Refund: ($5.31) Transactions Customer (Description Item Unit Qty Fee Charge IL Dept.Children Family Refund balance Refund Each 1.00 $5.31 ($5.31) Services Action: Refund Balance balance 406 E Monroe St.Station 410 Springfield,IL 62701 Primary phone:(123)456- 7456 Email: ccnnamoncares@yahoo.com ID:76007 Total Payments ($5.31) Balance $0 F R, C 7 2010