249556 09/23/15 ,E•1q
,•% \f. CITY OF CARMEL, INDIANA VENDOR: 00351526
Q5 I ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: $****42,975.00*
CARMEL, INDIANA 46032 5201 E MAIN ST CHECK NUMBER: 249556
9y..._ ATTN:ACCT RECEIVABLE
CARMEL IN 46033 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239099 08/27/15 42,975.00 OTHER MISCELLANOUS
SEP 04 2015
CLnYs.�o ...
Care-1,,,Cla' y' Scho0ls.
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: 8/27/2015
CONTACT: Joyce Myers Make Checks Payable to: Carmel Clay Schools
Group.Name: Carmel Clay Parks&Recreation
Contact:'_--_ __ -Ben Johnson
Address: 1411 E. 116th St.
City,State,Zip: Carmel, IN 46032
Building: Creekside,Clay &Carmel Middle Schools
Reservation Date(s): June 1 -July 31,2015
Rent: Facility 1 Gymnasiums @ 6:30 AM-6:30 PM Mon-Fri 45.00 $955.00 $42,975.00
Facility2
Facility 3
Custodial:
Utilities: Air Conditioning
Additional Custodian:
Kitchen Staff:
Auditorium Director:
Auditorium Student Assistants:
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
Upon Camp Conclusion • -
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.
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
8/27/15 8/27/15 Utility Usage Summer Camp 6/1 -7/31/15 39048 $ 42,975.00
Creekside, Clay, Carmel Middle School
Total $ 42,975.00
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
I
Voucher No. Warrant No.
00351526 Carmel Clay Schools Allo ived 20
5201 E. Main St.
Carmel, IN 46033
In Sum of$
$ 42,975.00
i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE I
I
PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept# ff
1082-99 8/27/15 4239099 $ 42,975.00 1 heleby 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
I
i
f=
i
September 17,2015
Signature
$ 42,975.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund