334224 01/04/19 J`%���`'�� CITY OF CARMEL, INDIANA VENDOR: 373026
ONE CIVIC SQUARE TRISH FRANCIOSI CHECK AMOUNT: $*******137.00*
`',, CARMEL, INDIANA 46032 13245 AQUAMARINE DR CHECK NUMBER: 334224
��'��TON�°r CARMEL IN 46033 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000463029 137.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 1v r]3 I_ Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Franciosi, Trish {{J l(� Payee
13245 Aquamarine Drive
Carmel, IN 46033 In Sum of$ Purchase Order#
Franciosi, Trish Terms
$ 137.00 13245 Aquamarine Drive Date Due
Carmel, IN 46033
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or Invoice Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-8 2000463029 4358400 $ 137.00 Board Members 12/26/18 2000463029 Parent Request $ 137.00
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
$ 137.00 Total $ 137.00
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 1pkmvhv�
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Receipt#2000463.029 Page a of 1'
Smoky Row.Elementary VOu@'G #20 .040302
.900 w 136th Street
Carmel; IN 46032 Dec 201 12
8�� M
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Phone: (317) 418-6917
FAX --
Email: info@carmelclayparks.com . . ar
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T�RISiH FSIR�ANCICQTIa -A -IONAL DIED AL WINNER
4i5�A'Q.UATMARI N� DRIVE
1323A N D .C C 'EDI T.E. * E N.0 Y
C-ARMEL46.033 }
Prepared By: alisonb..
Customer ID.: 46192
Primary-phone- _(317) 75273657x317, Secondary,phone: .(317) 844-:11.67
Refund Summar
Y. .
Chec ..
k:. ($13.7.00) Check #
Total Received: ($137.00) Total 7& II ("$16�p)
�.�
Transactions
Customer - Descr.iption Ytem lJnit.'.'Qty.Fee,Charge
-Trish Franciosi . Refund_balance. Refund Each. 1.00 $137.00. ($137.00)..
.13245 Aquamarine DRive Action: Refund-Balance..
balance
Carmel;IN 46033
Primary phone:(317)752-
3657x317-. .
Email:
FRAN CIOSIFITN ESS@ATT:NET
ID:46192 pI"�F,� :F; ¢. . ) _ v 'll
DEC 2 8-2018 . Total.charoes .($137.00):.
Total Payments.($1.37.00).
BY:
-Ballance-
.............................. .. $0
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https://dnprod;actiVe.doin/carm6lclayparks/servlet/ShoWR6c6iptadi?ribci iptheader_id=87:: .12/27/2018