321466 02/07/18 CITY OF CARMEL, INDIANA VENDOR: 357888
'1 ONE CIVIC SQUARE CARMEL CLAY PARKS & RECREATION CHECK AMOUNT: $
......*566.75*
CARMEL, INDIANA 46032 1411 E 116TH ST CHECK NUMBER: 321466
CARMEL IN...46032 CHECK DATE: 02/07/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2018-007REV 566.75 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 357888 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
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
$566.75
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
2018-007REV 50-239.90 $566.75 1 hereby certify that the attached invoice(s),or 2/1/18 2018-007REV $566.75
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
Tuesday, February 06,2018
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
Carmel, IN 46032 2/1/2018 2018-007REV
Bill To
City of Carmel
Jim Spelbring
One Civic Square
Carmel, IN 46032
Due Date
3/1/2018
Quantity Description Rate Amount
Monon Community Center Corporate Passes for January 2018
23 Adult Pass 8.50 195.50
1 Youth Pass 5.25 5.25
0 Senior/Military Pass 7.50 0.00
18 Household Pass 19.75 355.50
2 Senior(Legacy) Pass 5.25 10.50
SCJ f� vkv.._ ,a X
FEB 0 6 2018
Remit to:
Carmel Clay Parks&Recreation Total Due
1411 E. 116th St. $566.75
Carmel, IN 46032
Thank you!