243864 04/08/15 +u!..GAgyf CITY OF CARMEL, INDIANA VENDOR: 00351526
g ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: $*****4,800.00*
i CARMEL, INDIANA 46032 5201 E MAIN ST CHECK NUMBER: 243864
ATTN:ACCT RECEIVABLE CHECK DATE: 04/08/15
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4350900 9/30/14 4,800.00 OTHER CONT SERVICES
CLAY coo -
9
-Carm-el Clay Schools
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Please return this form with payment to:
Mr. Roger McMichael
® Carmel Clay Schools
5201 E. Main Street, Carmel, IN 46033
Phone: 317-844-9961 Fax: 317-571-4458
INVOICE DATE: 9/30/2014
CONTACT: Joyce'M ers Make Checks Payable to: Carmel Clay Schools
Group Name: Carmel Clay Parks&Recreation
Contact: Ben Johnson
Address:- 14-11 E. 116th Street --- -City,State,Zip: Carmel, IN 46032
Building: Forest Dale Elementary&West Clay Elementary
Reservation Date(s): 16 Dates Oct, Dec, Jan, Feb&Apr
Utilities: Cafeteria&Gymnasium 6:30 AM 6:30 PM
8 dates/first 1/2 of school year for 2 locations $600/date $4,800.00
8 dates/second 1/2 of school year for 2 locations $600/date $4,800.00
Make Check Payable to:
CARMEL CLAY SCHOOLS
Please make additional copies of this invoice
as needed and send a copy with each payment
to ensure proper credit for payment.
Payment Due Date- ,
(,Oct`ober 17-January,2),due'J49uary 30 at'$4,800 .
(January_1_9 :April 10)due April 30 at,$4800. °
OCT — 2 2014
woo 9 — 100
7i 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'.
i
whom, rates per day,number of hours,rate per hour,_number_of units, price,per unit, etc._
I -
Payee
Purchase Order No.
00351526 Carmel Clay Schools Terms
5201 E. Main'St. Date Due
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/30/14 9/30/14 _ Electric charges for Schools Out Camp _. 37658 $ 4;800.00
1/19-4/10/15
Total $ - . 4,800.00
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
I
oucher No. Warrant No. !+
0351526 Carmel Clay Schools Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum, of$
r
$ 4,800.00
ON ACCOUNT OF APPROPRIATION FOR I
108 -ESE
I
I
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
1081-99 9/30/14 4350900 $ .4,800.00 1 hereby certify that the attached invoice(s), or
bill(s)it(are)true and correct and that the
materials or services itemized thereon for
i
which charge is made were ordered and
received except
r
I, April 2, 2015
I
Signature
$ 4,800.00 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I