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HomeMy WebLinkAbout305765 12/07/16 _,Gqq. 4yF J! � CITY OF CARMEL, INDIANA VENDOR: 354401 ONE CIVIC SQUARE CROSSROAD REHAB CENTER, INC CHECK AMOUNT: $*******240.00* =q CARMEL, INDIANA 46032 4740 KINGSWAY DRIVE CHECK NUMBER: 305765 9�'�TON�°'� INDIANAPOLIS IN 40205-1521 CHECK DATE: 12/07/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 16538 240.00 ADULT CONTRACTORS Voucher No. Warrant No. 354401 Crossroads Rehabilitation Center, Inc. Allowed 20 4740 Kingsway Drive Indianapolis, IN 46205-1521 In Sum of$ $ 240.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1096-35 16538 4340800 $ 240.00 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 November 22, 2016 Signature $ 240.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Easterseals Crossroads INVOICE '•': ' eaf_Communtt Services "" easterseals 4740 Kmgsway Dnye • Lndianapolis,IN46205-1521 page 1 • Crossroads 317.466.1000 x2418 CP--',IV E I D11/15/2016 IlVf DICE'6ate — N 0 V 1 2016 nice No. . 16538 S BY: 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 T Carmel, IN 46032 T O O P,I ase made cheek p�able to::Cf05$rodds Rehabilitation.Senter,.lnc 240.00 Please detach and return for proper credit. Total Due Due Date; Disc Due Date Order No. Order Date SliiprDate. 11/15/2016 11/15/2016 00016531 10/31/2016 11/11/2016 Terms Descriptidf Customer PO Number/Case No. Upon receipt Iriterpreter/Client TXCL "UnitofMeawre Requested Delivered Unit Price Extension HOPPER,NANCY 0 HOUR 2.0000 2.0000 60.0000 120.00" JACOB MAHONEY 10/7/2016 INTERPRETING SERVICES HOPPER,NANCY 0 HOUR 2.0000 2.0000 60.0000 120.00 JACOB MAHONEY 10/14/2016 INTERPRETING SERVICES We appreciate your business. FedE ral Tax ID 35-0869058 Taxable =Non TaxableFretghti Sales Tax y: Mtsc.Chargemµtt yF Total. 0.00 240.00 0.00' 0.00 0.00 240.00 TALUS- - 2.481_004