HomeMy WebLinkAbout334219 01/04/10 `%��qq,,f. CITY OF CARMEL, INDIANA VENDOR: 373025
ONE CIVIC SQUARE CAROL DOBROTKA CHECK AMOUNT: $*********5.00*
i? CARMEL, INDIANA 46032 2502 SUTTON PLACE DR S CHECK NUMBER: 334219
(9''d'r'op`�°r' CARMEL IN 46032 CHECK DATE: 01/04/10
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000462029 5.0.0 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# a�3oa5 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc,
Dobrotka, Carol Payee
2502 Sutton Place Dr S
Carmel, IN 46032 In Sum of$ Purchase Order
Dobrotka, Carol Terms
$ - 5.00 2502 Sutton Place Dr S Date Due
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT nvolce nvolce Description
Dept# Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-8 2000462029 4358400 $ 5.00 Board Members 12/26/18 2000462029 Parent Request $ 5.00
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
$ 5.00 Total $ 5.00
January 2,2019
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
Receipt#2000462:029 Page a ofl . .
smoky Row Elementary #2000'462:0`2'9
Vou. Her
900 w 136th Street Dec 26, 2O1 ffip AM
Carmel; IN 46032
Phone; (317) 418=6917
FAX: -=
Email: info@carrnelclayparks.com Carme Ila..0
Peatio
r Rib
AROL DOBROTi<a1 T1 ►!'. L MEDAL
'�'VINNER
2502 SU�ITON PLACE DR 5.
�ARMEL,-IoN 46Q3%2; _y D ,-XC C- R E D I T E D - A ENL :Y.
„ Prepared.By: alisonb
Customer ID: 43790
Primary phone: --; Secondary phone:
Refund Summary "
Check: ($5.00) Check #._
Total Received:_ ($5:00). . ATLOta11111RUfiund:
Tra nsacti,o:ns.
Customer; Description Item Unit Qty Fee Charge
Carol pobrotka. Refund balance" Refund Each 1.00 . $5.00 ($5.00)-
2502 Sutton elate Dr s Action: Refund Balance : balance
Camel;IN 46032
Primary phone:
Email: RP .
ID:43790
DEC.. 2 8 ..2018 -.: Total Charges ($5.00)' .
Total Payments_ ($5:00)
BY: Balance $0
https:HLinprod.actiwe:com/carmelclayparks/servlet/.ShowReceipt:sdi?receipth6ade"r.id=87..'. .12/27/20.18