HomeMy WebLinkAbout323316 03/23/18 L%
CITY OF CARMEL, INDIANA VENDOR: 358862
`i ONE CIVIC SQUARE NATIONAL AFTERSCHOOL ASSOCIATICNiECK AMOUNT: $*'"'3,710.00`
CARMEL, INDIANA 46032 2961 A HUNTER MILL RD#626 CHECK NUMBER: 323316
9M.. OAKTON VA 22124 CHECK DATE: 03/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 40055 3,710.00 EXTERNAL INSTRUCT FEE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 358862 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
focal. Payee
2961 A Hunter Mill Road,#626
OO akton,VA 22124 In Sum of$ Purchase Order#
'•''NewQYdd?e`ss.. "': ;. 358862 National AfterSchool Association Terms
$ 3,710.00 2961 A Hunter Mill Road,#626 Date Due
Oakton,VA 22124
ON ACCOUNT OF APPROPRIATION FOR
108-ESE Fund
Po#or Invoice Description
Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-99 40055 4357004 $ 3,710.00 Board Members 3/8/18 40055 NAA Registration for ESE Staff 2018 50847 $ 3,710.00
I 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
$ 3,710.00 Total $ 3,710.00
March 19,2018
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature -,20_
Accounts Payable Coordinator Clerk-Treasurer
Title
� ss°
SIA 0 :8 CIE-
120-18
8
o.
0 110,
Invoice
INVOICE#40055
DATE ARCH 8,2018
- M
INVOICE DUE DA .MARCH'
1:8,2018
MAhL QA �MET.00
NT
Carmel Clay.State ParksNational AfterSchool Assoccliatio
1411 E. 116th_Street
. . 961 A Hunter Mil Rcgad,#626',
Carmel; IN 46032 Oakton,VA 22124
P 317:573.4026
Make checks.payable to: National AfterSchool
Association
QUANTITY. DESCRIPTION UNIT PRICE. TOTAL
Ben 7ohnsoh
. , –aSciTl•9- - - - - .
Nikeesha Pittman .rE V.... .
- -
•1. Jennifer Harnmons- -$530 $4240.00
Tiffany Buckingham
Amy Baldaux. .
'
Cyndi Canada, -
Amanda GillIM "
TOTAL- $4240.0.0
„ .
:
. .PAID..
CREDIT CARD:.
Please email this completed form to: naannualconvention(&gmail.com
VISA . Master-Card AMEX1, Discover
Amount:
'Card Number: Exp.'Date: Security Code:
Name On Card:
:Billing Address::: .
Print Name:
PAYING BY CHECK:If.paying by check,payment must be received by:National AfterSchool Association within-five business_ days of.placing'your.
order. :Registration is not complete until payment is received in,full. Registrants must register'online before sending check. Please print a copy of your
online order confirmation and mail.it along with:a check payable to National.AfterSchool Association to: -
National Afte(School Association