234033 6 /25/2014 �r Coq
J�%" '�� CITY OF CARMEL, INDIANA VENDOR: 368336 CHECK AMOUNT: $*"`*`**100.00*
ONE CIVIC SQUARE HUNGER SKATEPARKS
r. ?� CARMEL, INDIANA 46032 7438 LAMPKINS RIDGE ROAD CHECK NUMBER: 234033
9,,�iaN�� BLOOMINGTON IN 47401 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 6/9/14 100.00 GROUNDS MAINTENANCE
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Invoice
To: Carmel Clay Parks and Recreation
From: Hunger Skateparks
Bart Smith, Owner
7438 Lampkins Ridge Road
Bloomington, IN 47401
Date: 6/9/14
Description Amount
Temporary Repair $100
Balance Due: $100
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Keep Rollin Indiana
Thank You for Supporting Indiana Skateboarders!
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.
Hunger Skateparks Terms
7438 Lampkins Ridge Road
Bloomington, IN 47401
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/9/14 6/9/14 Temporary skate park repairs xx716 $ 100.00
Total $ 100.00
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Hunger Skateparks Allowed 20
7438 Lampkins Ridge Road
Bloomington, IN 47401
In Sum of$
$ 100.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
I'•
`l
PO#or INVOICE NO. CCT#/TITL AMOUNT ! Board Members
Dept# '
1125 6/9/14 4350400 $ 100.00 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
19-Jun 2014
i.
Signature
$ 100.00 Accounts Payable Coordinator
Cost distribution ledger classification if, Title
claim paid motor vehicle highway fund
' I