HomeMy WebLinkAbout236376 8 /27/2014 � Coq .
M� CITY OF CARMEL, INDIANA VENDOR: 368444
® i. ONE CIVIC SQUARE RICHARD FORD CHECK AMOUNT: $""`*'374.00"
s. r� CARMEL, INDIANA 46032 686 TAPPAN ST#1032 CHECK NUMBER: 236376
`Mr.oN CARMEL IN 46032 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 144315 374.00 ADULT CONTRACTORS
800j d(,pMp BOOT C 4AIP CHA 1 I.F1NTG.E.JiNTIEST ININ"01 C E
YOURSELF!
Boot Camp Challenge- Indianapolis DATI": AUGUST 14,2014
6861'appan Street#1032, Carmel, IN 46032 INVOILI # 144315
630-276-6977
fordfitpt@giiiail.com
TO Carmel-Clay Parks and Recreation~ '.
1235 Last Central Park Drive East AUG 15 2014
Carmel, IN 46032
317-848-7275
SALESPERSON`-- - l— — JOB PAYMENT TERMS — —DUE DATE
6 Weeks (18 classes) of {
Richard lord-Class Boot Camp ChaUcage `iia Check August 29, 2014
Instructor P rogyr mfor /14 thru
8/22
QTY DESCRIPTION UNIT PRICE LINE TOTAL
�! Boot Camp Challenge 6-Week Group Fitness Program at
CCPK's West Clad Park $187.00/Participant $374.00
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- _ $374.00
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S-v.rs TAX 00.00
rc»Ar, ' $374.00
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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.
368444 Ford, Richard Terms
686 Tappan Street# 1032
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/14/14 144315 Boot Camp Challenge Program 7/14- 8/22/14 37493 $ 374.00
Total $ 374.00
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
Voucher No. Warrant No.
368444 Ford, Richard Allowed 20
686 Tappan Street#1032
Carmel, IN 46032
In Sum of$
$ 374.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-22 144315 4340800 $ 374.00 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
21-Aug 2014
/Al i�
Signature
$ 374.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund