HomeMy WebLinkAbout334302 01/10/19 0y CITY OF CARMEL, INDIANA VENDOR: 373039
�/ ?e,
ONE CIVIC SQUARE JEREMY BLOCK CHECK AMOUNT: $********40.00*
,), ?� CARMEL, INDIANA 46032 9650 AVENEL CT CHECK NUMBER: 334302
9.y;��oN CARMEL IN 46032 CHECK DATE: 01/10/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4358400 2000234030 40.00 REFUNDS AWARDS & INDE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 3 q�30J 7� 7 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Block, Jeremy Payee
9650 Avenel Ct
Carmel, IN 46032 In Sum of$ Purchase Order#
Block, Jeremy Terms
$ 40.00 9650 Avenel Ct 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
1081-91 2000234030 4358400 $ 40.00 Board Members 12/7/18 2000234030 Parent Request $ 40.00
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
$ 40.00 Total $ 40.00
January 3,2019
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
1/3/2019 Receipt#2000234.030
Towne Mead®w Elementary e�,,, �
ffefi ®Z 3U
10850 Towne RoadQj 'M,
a
Carmel, IN 46032
Phone: (317) 698-7950
FAX: --
Email: info@carmelclayparks.com
Ca,rme I * Cla, y
Parks. &Recreafion
JEREMY --' NATIONALOOLD MEDAL WINNER
-
96-s 11Afff LCT
C�ARMEL! TN�46,._032 AND ACCREDITED AGENCY
Prepared By: rebeccal
Customer ID: 54402
Primary phone: (317) 525-1100, Secondary phone: (317) 410-6150
Total Received:
($40.00) ,otal Refundx'41@ 1,00).
____.. ............ _._.. ............e....,..,.._...« .........-------........_................. ...._......._.._................,............._..................._......._._....._......................®.,.........,,,...t
D e S z, tc sn Sat rnlnift Qty Fee
Jeremy Block Refund balance Refund Each 1.00 $40.00 ($40.00)
9650 Avenel Ct. Action: Refund Balance balance
Carmel,IN 46032
Primary phone:(317)525-
1100
Email:
kblock@scopelitis.com _
ID:54402
Total Charges ($40.00)
JAN 0 3 2019 Total Payments ($40.00)
Balance $0
BY:
100
O l
https://anprod.active.com/carmelclayparks/servlet/showReceipt.sclPreceipthea de r_id=864158&o rig inalversion=true&new window=yes 1/1