HomeMy WebLinkAbout258662 05/13/16 CUST FAG CHU
A
ONE CIVIC
Vehicle License Fee Ar�-e.,'c!d @ S 1.06 per aay
CARMEL,CITY OF :L, IANA Tax 1 9.000% On Taxabi�.'f' 119.53 $ 10.77
CR&IL
IND
CARMEL, INDIANA-ARE VENDOR: 370612 Tax 3.750% OnCalifon-,iaRelueling $
N IANA 46032 BRAD MEYERS ADJUSTMENTS
4572
DEPARTMENT
p,TTSORO,N 4616'; TOTAL ESTIMATED CHARGE 143-95
1092 ACCOUNT PO NUMBER
358400 INVOICE NUMBER
2000258004
Credit Card Authorization Amount$ 344.00
Rented by The Hertz Corporation
10110115
Wnnj Class: C
Voucher No. Warrant No.
Meyers, Brad Allowed 20
4572 McCullah Drive
Pittsboro, IN 46167
In Sum of$
$ 266.00
ON ACCOUNT OF APPROPRIATION FOR
109 -MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1092 2000258004 4358400 $ 266.00 1 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
May 6, 2016
Signature
$ 266.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Meyers, Brad .Terms
4572 McCullah Drive Date Due
Pittsboro, IN 46167
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/28/16 2000258004 Refund $ 266.00
Total $ 266.00
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
, 20
Clerk-Treasurer
20Clerk-Treasurer
Receipt#2000258.004 Page 1 of 1
Monon Community Center West
Building
V ° 00,
Building
Apr 2-8, `20126- 1= 26=PMS
1195 Central Park Dr. West
Carmel, IN 46032
Phone: (317) 848-7275
FAX: - carl I lei Clay
-
Email: info@carmelclayparks.com
Parks&Recreation
Br�D� EYERS NATIONAL LDS ,AL W ha l
ER
o. .+ d;
AND ACCREDITED AGE Y
,4572 MCCU1115AH! I IVE
�P���S,BO;.RO INS 4617
Prepared By: macel
Customer ID: 5206
Primary phone: (317) 892-0322, Secondary phone: --
Refund Summary
Check: ($266.00) Check #
Total Received: ($266.00) Total R' fund. .t ($2661 00).
Transactions
Customer Description Item Unit Qty Fee Charge
Brad Meyers Refund balance Refund Each 1.00
$266.00 ($266.00)
4572 McCullah Drive Action: Refund Balance
balance
Pittsboro,IN 46167
Primary phone:(317)892-
0322
Email: lbigguy@eaithlink.net
ID:5206
Total Charges ($266.00)
Total Payments ($266.00)
Balance $0
13
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https://anprod.active.com/carmelclayparks/servlet/processReceiptPayment.sdi 4/28/2016