257759 04/26/16 �'"�. CITY OF CARMEL, INDIANA VENDOR: 354401
°I ONE CIVIC SQUARE CROSSROAD REHAB CENTER, INC CHECK AMOUNT: $*****"`1 10.00•
r, _�; CARMEL, INDIANA 46032 4740 KINGSWAY DRIVE CHECK NUMBER: 257759
9M�._._� INDIANAPOLIS IN 46205-1521 CHECK DATE: 04/26/16
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 16128 110.00 GENERAL PROGRAM SUPPL
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
4/14/16 16128 Sign Interpreter for 3/19/16 Playback Show xx3407 $ 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
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. CCT#/TITL AMOUNT +! Board Members
Dept#
1096-70 16128 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
1
ii
i
April 22, 2016
Signature
$ 110.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
w� as er e�'s� 4740'KingswaY Drive �� INVOICE
Crossroads ana diana is,�N 46205,5
•: ' 317.466.1000 x2418 C FIVE
dislability services —
OuremphasislsonabY••_.._.
APR
Deaf Community Services _
a division of Easter Seals Cross roads ��T: _ Ir1V,OIc t� `f4/t1°4/01;6
S S
O H_
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
OCarmel, IN 46032. 0
P aseim 1d&heck paya"ble to Cross'ads Rehab litat of Winter oc 110.00
Pppea��se.detach and..return for.proper credit. . _ __. . ... ... .. :. . _. ._.. Total-Due.........
-------------
ue..----
U'�--- ---- ----------- --- -- . -------------------------------------------------------------------------------------- ----------•----
Due Date Disc Due,Date_ Order.No. Order Date Ship Date
4/14/2016 4/14/2016 00016109 3/31/2016 4/13/2016
Terms Description Custodmer-P-&NWr berX4se No.
Upon receipt
Interpreter/Client TXC U7itofMka54mwwR q ested Delivered Unit Price Extension
DAMMARELL,CHRISTINA 0 HOUR 2.0000 2.0000 55.0000 110.00
VARIOUS
03/19/2016
INTERPRETING SERVICES `
_--------- .......
We appreciate your busihess: - Fed- rdl Tax"1D-35-0869058
Taxable Norflaxable Freight Sales Tax Misc.Charge Total
0.00 110.00 0.00 0.00 0.00 110.00
,; TOTAL DU817 7 '0_