248818 08/15/15 ��'.�,q,f CITY OF CARMEL, INDIANA VENDOR: 368211
® ONE CIVIC SQUARE FLOWRIDER INC CHECK AMOUNT: $**.....440.00*
:. Z CARMEL, INDIANA 46032 #A 3655 PACIFIC HWY CHECK NUMBER: 248818
?y,,oN�o, SAN DIEGO CA 92101 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 7/25/15 440.00 GENERAL PROGRAM SUPPL
INVOICE
AUG 12 21015
Invoice to:
Cannel Clay Parks& Recreation
1411 E. 116"' Street
Cannel,IN 46032
P 317.844.7275
FLOW Tour
The event was held on Saturday,July 25 from 7am-6pm.
Cannel Clay Parks will pay for each competitor that does not have an annual membership to
FLOW'four.
—
44 Non-Members x $10/person= $440
Total Amount Due: $440.00
Adam Muller
FloWider Inc. 1=10v4Rk6ev- T 1 C'
3655 Pacific Highway
San Diego,CA 92101
Carrel o Clay
Parks&Recreati®n CHECK REQUEST
Date: �ll2'1 AUG 12 2015
"tie,;
Check payable to: ,d
Name: F'1oNN i�Adcr `yic. A'dAnn I
Address: J&W59PacAC.
City,State,Zip !kn L. WO I cA_ei'm01
XMail check to payee Return check to requestor
Check Amount:$ ®•00 Date Required: 0i IV 116
Purpose of Check: im+ "Dy- c®m. ' S In IFLO\,U M)Ur
m x9WS?porting documentation or invoice(s)MUST be attached.
To be paid from:
PO#(if applicable) M
Budget account-GL# 11"�ccrr,y�� 0. WQ A"LZR020c
Budget Line Description 67e� � WppliO
Requested by(print): 1 YLA j �=
Requested by(signature/date): 4 % l ./It)
Approved by(print): [hOASao
T 466
Approved by(signature/date)
Form recreated 3/10/15(Business Services)
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.
368211 FlowRider, Inc. Terms
3655 Pacific Highway
San Diego, CA 92101
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/25/15 7/25/15 Competitors in Flow Tour 38949 $ 440.00
Total $ 440.00
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.
368211 FlowRider, Inc. Allowed 20
3655 Pacific Highway
San Diego, CA 92101
In Sum of$
$ 440.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-60 7/25/15 4239039 $ 440.00 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
August 20, 2015
Signature
$ 440.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
u
1