303789 10/06/16 `y u!44q,Nf
CITY OF CARMEL, INDIANA VENDOR: 00351526
y ® tl ONE CIVIC SQUARE CARMEL CLAY SCHOOLS CHECK AMOUNT: $""41,065.00"
CARMEL, INDIANA 46032 5201 E MAIN ST CHECK NUMBER: 303789
ATTN:ACCT RECEIVABLE CHECK DATE: 10/06/16
CARMEL IN 46033
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4350900 091616 41,065.00 OTHER CONT SERVICES
)ucher No. Warrant No.
3351526 Carmel Clay Schools Allowed 20
5201 E. Main St.
Carmel, IN 46033
In Sum of$
$ 41,065.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. kCCT#/TITLI AMOUNT Board Members
Dept#
1082-99 9/16/16 4350900 $ 41,065.00 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
September 26, 2016
IpAdi'Lm��
Signature
$ 41,065.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
9/16/16 9/16/16 ESE Summer Camp Utility Usage 2016 40588 $ 41,065.00
Total $ 41,065.00
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
Mr-C-EI ED
SEP 19 2016
Carmel CLa Schools
r'Rhe ie+or`'�
Please return this form with payment to:
Mr. Roger McMichael
® ECarrne Clay_Schools ,,37-
5201 E'Mam Street, Carmel; IN 46033
P -
hone 317-844-9961 Fax: 317-571-4458
INUOI..CEDATEV,9/15/20]6'= __
0ONTACT: 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): May 31 -July 29,2016
Rent: Facility 1 Gymnasiums @ 6:30 AM-6:30 PM Mon-Fri 43.00 1$955.00 $41,065.00
Facility 2
Facility 3
Custodial:
Utilities: Air Conditioning
Additional Custodian:
Kitchen Staff:
Auditorium Director:
Auditorium Student Assistants:
Make Check Payable to:
-"""`CARIVIEL�CL'A�YjS,CI��00LS�
Please make additional copies of this invoice
as needed and send a copy with each payment
to ensure proper credit for payment.
Payment Due Gate
Upon:Receipt'
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