322556 03/12/18 .�.or..4ng,Mfi
CITY OF CARMEL, INDIANA VENDOR: 357888
d ONE CIVIC SQUARE CARMEL CLAY PARKS & RECREATION CHECK AMOUNT: $.....**877.25*
9. CARMEL, INDIANA 46032 1411 E 116TH ST CHECK NUMBER: 322556
qM CARMEL IN 46032 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_
301 5023990 2018-013 877.25 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 357888 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CARMEL CLAY PARKS&RECREATION IN SUM OF$ 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
$877.25
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
2018-013 50-239.90 $877.25 1 hereby certify that the attached invoice(s),or 3/6/18 2018-013 Feb 2018 $877.25
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
Monday,March 12,2018
L/_4� C'.�Q -
Crider,James
Administration
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
Carne l Clay Invoice
Parks: Recreation Date Invoice#
1411 E 116th Street
Carmel, IN 46032 3/6/2018 2018-013
Bill To
City of Carmel
Jim Spelbring
One Civic Square
Carmel, IN 46032
Due Date
4/6/2018
Quantity Description Rate Amount
Monon Community Center Corporate Passes for February 2018
54 Adult Pass 8.50 459.00
1 Youth Pass 5.25 5.25
1 Senior Pass 7.50 7.50
20 Household Pass 19.75 395.00
2 Senior(Legacy) Pass 5.25 10.50
n
i P
MAR.0 8 2018
Remit to:
Carmel Clay Parks& Recreation Total Due
1411 E. 116th St. $877.25
Carmel, IN 46032
Thank you!