249850 09/23/15 ,f CITY OF CARMEL, INDIANA VENDOR: 368105
ONE CIVIC SQUARE PICKLE-BALL INC CHECK AMOUNT: S'"''""453.73'
CARMEL, INDIANA 46032 1144 NW 52ND ST CHECK NUMBER: 249850
SEATTLE WA 98107 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 211347141 453.73 GENERAL PROGRAM SUPPL
V
Pickle-Ball, Inc Invoice
1 144 NW 52nd Street Date Invoice#
Seattle, WA. 98107 AUG 2 7 2015
8/26/2015 211347141
Bill To Ship To
Carmel Clay Parks&Rec. Carmel Clay Parks& Rec.
1411 East 116th Street 1411 East 1 16th Street
Carmel,IN 46032 Carmel,IN 46032
USA USA
P.O. Number Terms Rep Ship Via F.0.6. Project
���� Net 15 8/26/2015 Federal Express
Oban Item Code Description . U/M Price Each . Amount
36 P1061 Diller Paddle-'I'aiwan 12.00 432.001'
Freight Freight Charges 21.73 21.73T
Out-of state sale,exempt from sales tax 0.00% 0.00
Phone# E-mail Total $453.73
(206)632-0119 (... Orders n pickleball.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.
Pickle-Ball, Inc. Terms
1144 NW 52nd Street
Seattle, WA 98107
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/26/15 211347141 Pickleball paddles for class 38946 $ 453.73
Total $ 453.73
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.
Pickle-Ball, Inc. Allowed 20
1144 NW 52nd Street
Seattle, WA 98107
In Sum of$
$ 453.73
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or
Dept# INVOICE NO. CCT#/TITL AMOUNT Board Members
1096-50 211347141 4239039 $ 453.73 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
September 17, 2015
1PA0"VXVU
Signature
$ 453.73 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund