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244254 04/15/15 0q,%' ��p CITY OF CARMEL, INDIANA VENDOR: 366750 j� ® ONE CIVIC SQUARE GYM41 CHECK AMOUNT: $'.•••1,123.12' ;; ��� CARMEL, INDIANA 46032 5315 W 86TH STREET CHECK NUMBER: 244254 M?roil�` INDIANAFOLIS IN 46268 CHECK DATE: 04/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 1049 1,123.12 ADULT CONTRACTORS �y E��.. �- Tully Bevilaqua LLC BO BOOTCAMP ® 5315 W. 8611'Street,Indianapolis,IN 46268 Date To W April 5,2015 Carmel Clay Parks&Recreation U Monon Community Center JD 1235 Central Park Drive East OCarmel,IN 46032 7APR7 2015 P 317.573.5247 F 317.573.52544 _ J Quantity Description Unit Price Total 9 Tully Bevilaqua Basketball Clinics(3/10-4/2) $120.00 $1080.00 1 Tully Be-Nilaqua Basketball Clinics(3/10-3/12) N/A 43.12 *Please make checks payable to Gym41 Total Due $1123.12 Thank you for your business! Purchase Description P.O.# y7-YT P o(p G.L.# �Oq� yo2 L/SYo Budget Line Descr �o� .a Pg,✓�+�� Purchaser Date %'lls Approval Date(S Tel:317.508.5625 Email:Lindsay@gym4l.com Web:www.gym4l.com 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. 366750 Gym 41 Terms 5315 W 86th Street Indianapolis, IN 46268 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 4/5/15 1049 Tully Basketball 3/10-.4/2/15. _ 38309._. $ 1,123.12 Total Is 1,123.12 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. 366750 , Gym 41Allowed :. 20 531 5 W 86th Street Indianapolis, IN 46268 In'Sumof$ - $. . 1,123:12 ON ACCOUNT OF APPROPRIATION FOR 169 -Moron Center PO#or INVOICE NO. CCT#%TITL AMOUNT ! Board Members Dept# 1096-42, 1049 4340800 1,123.12 1 hereby certify that the attached ihvoice(s), or L P111(s)is(are)true and correct and that the materials or services itemized thereon for ,which charge is made•were:ordered and received except :April 9, 2015.: j. Signature 1;123 12:; Accounts,Payable-Coordinator.. Cost distribution ledger classification'if . Title. claim paid riiotor vehicle highwayfund i.