242415 02/17/15 a o,.c�nM
CITY OF CARMEL, INDIANA VENDOR: 363439
® I ONE CIVIC SQUARE U S A TABLE TENNIS CHECK AMOUNT: S'".....`75.00*
CARMEL, INDIANA 46032 4065 SINTON RD,SUITE 120 CHECK NUMBER: 242415
'„__oN.�a COLORADO SPRINGS CO 80907 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 2/10/15 75.00 GENERAL PROGRAM SUPPL
-& USA
TABLE TENNIS
Invoice
Date: 2/10/2015 FEB �:p 2015
To: Carmel Clay Parks and Rec By.
1235 Central Park Dr. E
Carmel, IN 46032
Amount
Item Description
Annual Club Affiliation Fee $75.00
Due Upon Receipt Total $75.00
Prepared by: Andy Horn Date: 2/10/2015
Payment due within 30 days
Checks may be mailed to:
USA Table Tennis
4065 Sinton Rd. Suite 120
Colorado Springs, CO 80907
If paying by Credit Card, please call Tiffany Oldland at 719-866-4583 ext: 4
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.
363439 U S A Table Tennis Terms
4065 Sinton Rd., Ste 120
Colorado Springs, CO 80907
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/10/15 2/10/15 Club affiliation fee xx1707 $ 75.00
I
Total $ 75.00
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.
363439 U S A Table Tennis Allowed 20
4065 Sinton Rd., Ste 120
Colorado Springs, CO 80907
In Sum of$
$ 75.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1096-50 2/10/15 4239039 $ 75.00 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
February 12, 2015
Signature
$ 75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund