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252258 12/08/15 as fel` ea s; 4740 Kingsway Drive INVOICE Crossroads Indianapolis,IN 46205-1521 - dislability services 317.466.1000 x2418 _Our emphasis is on ability. _ .. _.- ---------.r--._ __. --- --- --- -. ._.... - - - - ------------------ -- -.P_age......._.--r--------_---- ---- Deaf Community Services _ a division of Easter Seals Crossroads �-v - Invoice Date 15857 015 NOV 30 2015 ` Invoice No. 15857 S BY: S L 1710 1 Carmel Clay Parks&Recreation D Account Payable P Account Payable Carmel Clay Parks&Recreation 1411 E. 116th Street 1411 E. 116th Street Carmel, IN 46032 T Carmel, IN 46032 T 0 0 Please made check payable to: Crossroads Rehabilitation Center,Inc. 110.00 Please detach and.return.for proper credit. _ _ __ _..._ .... _ _. .....- . .. _. .Total-Due- ---•- M ---_--------- - --- - - -- _-- - ----------- =----- -- =__-- --- Due Date Disc Due bate Order No. Order Date Ship Date 11/24/2015 11/24/2015 00015838 10/31/2015 11/19/2015 Terms Description Customer P.O.Number/Case No. Upon receipt Interpreter/Client TXCL UnitofMeasure Requested Delivered Unit Price Extension PARCHMAN,TARA 0 HOUR 2.0000 2.0000 55.0000 110.00 VARIOUS 10/03/2015 INTERPRETING SERVICES We appreciate your business. `' Fede ral Tax ID-35-0869058 Taxable ,,,Nori Taxable Freight Sales Tax Misc.Charge Total 0.00 110.00 0.00 0.00 0.00 110.00 — . - TOTAL DUE 110.00 --� r _ - 1 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. 354401 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 11/24/15 15857; Sign Language Interpreter for Playback Show 10/3/15 xx2676 $ 110.00 Total $ 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 9 Voucher No. Warrant No. 354401 Crossroads Rehabilitation Center, Inc. Allowed 20 4740 Kingsway Drive Indianapolis, IN 46205-1521 In Sum of$ $ 110.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept# 1096-70 15857 4239039 $ 110.00 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 December 1, 2015 Signature $ 110.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 4 4