333803 12/21/18 CITY OF CARMEL, INDIANA VENDOR: 373016
ONE CIVIC SQUARE VARUN KATRAGADDA CHECK AMOUNT: $********16.00*
:. CARMEL, INDIANA 46032 9686 RIALTO TRL CHECK NUMBER: 333803
CARMEL IN 46280 CHECK DATE: 12/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2003180003 16.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Katragadda, Varun Payee
9686 Rialto Trl
Carmel, IN 46280 In Sum of$ Purchase Order#
Katragadda, Varun Terms
$ 16.00 9686 Rialto Trl Date Due
Carmel, IN 46280
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
1081-6 2003180003 4358400 $ 16.00 Board Members 12/19/18 2003180003 Parent Request $ 16.00
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
$ 16.00 Total $ 16.00
December 20,2018
I 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
rue
Receipt#2093180.003 Page 1 of 1
Monon Community Center East �' � '
Vouc 'e�� �00�1� ° .�03
Building Dec 19,:;2018 0�2M
1235 Central Park Dr. East
Carmel, IN 46032
Phone: (317) 848-7275 C aly
FAX: - Cal
-
Email: info@carmelclayparks.com
Parks&Recreauon
NATIONAL GOLD MEDAL WINNER
W/ArlAND ACCREDITED AGENCY
lJ NiI<°A�TRtAC�AD DA
- ---�
9686"RIwALTO TRL
CRM:ELIIIV�46280 "
Prepared By: bennyj
Customer ID: 24755
Primary phone: --, Secondary phone: --
Refund Summary
Check:
Total Received: ($16.00) Total Refund: ($16.00)
Transactions
Customer Description Item Unit Qty Fee Charge
Varun Katragadda Refund balance Refund Each 1.00 $16.00 ($16.00)
9686 Rialto Tri Action: Refund Balance balance
Carmel,IN 46280
Primary phone:--
Email:--
ID:24755
Tdta"Ihargaesl:$7.600)
Total Payments ($16.00)
Balance $0
'N17
EIEC 1 '9 2010
By:
https://activenet023.active.com/carmelclayparks/servlet/ShowReceipt.sdi?receiptheader_i... 12/19/2018