319644 12/15/17 CAA
CITY OF CARMEL, INDIANA VENDOR: 357888,
b it ONE CIVIC SQUARE CARMEL:CLAY PARKS &RECREATION CHECK AMOUNT: $.....**618.00*
CARMEL, INDIANA 46032 1411 E 116TH ST CHECK NUMBER: 319644
9j_TSN. ` CARMEL IN 46032 CHECK DATE: 12/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2017-089 618.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 357888
CARMEL CLAY PARKS&RECREATION IN SUM OF$ CITY OF CARMEL
1411 E 116TH ST An invoice or 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.
CARMEL, IN 46032
Payee
$618.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
301 Medical Fund Terms
301 Medical Fund Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2017-089 50-239.90 $618.00 1 hereby certify that the attached invoice(s),or 12/1/17 2017-089 Nov Passes $618.00
301 301 301 301
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
Thursday, December 14,2017
Lamb, Barbara
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Carmel ® Clay Invoice
Parks&Recreation Date Invoice#
1411 E 116th Street 12/1/2017 2017-089
Carmel, IN 46032
Bill To
City of Carmel
Jim Spelbring
One Civic Square
Carmel, IN 46032
Due Date
1/1/2018
Quantity Description Rate Amount
Monon Community Center Corporate Passes for November 2017
26 Adult Pass 8.00 208.00
1 Youth Pass 5.00 5.00
0 Senior/Military Pass 7.50 0.00
20 Household Pass 19.75 395.00
2 Senior(Legacy) Pass 5.00 10.00
Subm,'lled To
DEC 13 2017
Clerk,, -11-reasurer
Remit to:
Carmel Clay Parks&Recreation Total Due $618.00
1411 E. 116th St.
Carmel, IN 46032
Thank you!