312871 6/26/2017 CITY OF CARMEL, INDIANA VENDOR: 354401
ONE CIVIC SQUARE CROSSROAD REHAB CENTER, INC CHECK AMOUNT: $*******360.00*
=a CARMEL, INDIANA 46032 4740 KINGSWAY DRIVE CHECK NUMBER: 312871
INDIANAPOLIS IN 46205-1521 CHECK DATE: 06/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 16944 360.00 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 Easterseals Crossroads Terms
Deaf Community Services
4740 Kingsway Drive
Indianapolis, IN 46205-1521
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/14/17 16944 Sign Interpreter Swim Lessons May'17 41432 $ 360.00
Total $ 360.00
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
Easterseals Crossroads INVOICE
` Deaf Community Services
easterseals 4740 Kingsway Drive
_.
Indianapolis,IN46205-1521 page
Crossroads 317.466.1000 x2418 1
Invoice Date 6/14/2017
Invoice No. 16944
S S
OH
H Carmel Clay Parks&Recreation
Account Payable Account Payable
Carmel Clay Parks&Recreation P 1411 E. 116th Street
1411 E. 116th Street Carmel, IN 46032
T Carmel, IN 46032 T
O O
Please made check payable to: Crossroads Rehabilitation Center,Inc. 360.00
Please detach and return for proper credit. Total Due
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Due Date I Disc Due-Date Order No. Order Date Ship Date
6/14/2017 6/14/2017 00016944 5/31/2017 6/13/2017
Terms Description Customer P.O.Number/Case No.
Upon receipt
Interpreter/Client TXCL UnitofMeasure Requested Delivered Unit Price Extension
ARMENTROUT, REBECCA 0 2.0000 2.0000 60.0000 120.00
JUSTIN MAHONEY
05/07/2017
INTERPRETING SERVICES
ARMENTROUT,REBECCA 0 2.0000 2.0000 60.0000 120.00
JUSTIN MAHONEY
05/14/2017
INTERPRETING SERVICES
ARMENTROUT,REBECCA 0 2.0000 2.0000 60.0000 120.00
JUSTIN MAHONEY
05/21/2017
INTERPRETING SERVICES
P 9 j
JUN 19 2017
_j
We appreciate your business. Federal Tax ID 35-0869058
Taxable Non Taxable Freight Sales Tax Misc.Charge Total
0.00 360.00 0.00 0.00 0.00 360.00
TOTAL DUE 360.00