244686 04/29/15 CITY OF CARMEL, INDIANA VENDOR: 354401
til ONE CIVIC SQUARE CROSSROAD REHAB CENTER, INC CHECK AMOUNT: $"""'1 10.00`
CARMEL, INDIANA 46032 4740 KINGSWAY DRIVE CHECK NUMBER: 244686
INDIANAPOLIS IN 46205-1521 CHECK DATE: 04/29/15
t rON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 14312 110.00 GENERAL PROGRAM SUPPL
-Easter Seals 4740=King way Drive INVOICE
Crossroadsanapolis,IN 46205-1521
dislabili services 317.466.1000 x2418
Our emphasis is on ability. Page
1
Deaf Community Services
a division of Easter Seals CrossroadsRE C "{ r � �� 3/31/2015
Invoice Date
14312
APR 0 2015 Invoice No.
S BY: _ S
O1710 H Carmel Clay Parks&Recreation
Account Payable Account Payable
Y Y
D P
1411 E. 116th Street
Carmel Clay Parks&Recreatio
s
1411 E. 116th Street Carmel, IN 46032
T Carmel,IN 46032 T
O O
Please made check payable to: Crossroads Rehabilitation Center,Inc. 110.00
Please detach and return for proper credit. Total Due
-- ------------_ -------------____-----------------------------------------------------_ . -- ------------------------------------------- ----
DueDate: DISCD e Date Orcie`r No.,-
Order Date Shtp Date k, .
E
x
3/31/2015 3/31/2015 00015482 3/31/2015 4/10/2015
Ters (1641", tbe
t�n � Cusrnei RC3 l�u
rrrlease
Upon receipt
Interpreter/CI}erit TX£ l�n�iofMeasure ; Requested ae[ivered rv....` Unit Prce,M E�cten5>on
_ r,
NICOLAI,RANDOLPH 0 HOUR 2.0000 2.0000 55.0000 110.00
VARIOUS
03/27/2015
INTERPRETING SERVICES
We appreciate your business. Federal Tax ID 35-0869058
Txable Nontaxable Frelgt SalesTx Mlsc Chane Tote
0.00 110.00 0.00 0.00 0.00 110.00
TOTAL DUE 110.00
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.
Crossroads Rehabilitation Center, Inc. Terms
4740 Kingsway Drive
Indianapolis, IN 46205-1521
Invoice Invoice Description
Date - Number (or note attached invoice(s)or bill(s)) PO# Amount
3/31/15 14312 Sign Language Interpreter for Program Event 3/27/1 xxl844 $ 110.00
Total Is 110.00
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
Voucher No. Warrant No.
Crossroads Rehabilitation Center, In I'. Allowed 20
4740 Kingsway Drive
Indianapolis, IN 46205-1521
In Sum of$
$ 110.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Ceriter . is
i
PO#or Board Members
Dept#
INVOICE NO. CCT WTITL AMOUNT .}
1096-70 14312 4239039, $ 1.10.00;; I hereby certify that the attached invoice(s), or
4 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
April 23, 2015
PAN
Signature
$ 110:00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I