328139 07/25/18 CITY OF CARMEL, INDIANA VENDOR: 357888
ONE CIVIC SQUARE CARMEL CLAY PARKS &RECREATION CHECK AMOUNT: $*****1,043.50*
Via'. CARMEL, INDIANA 46032 1411 E 116TH ST CHECK NUMBER: 328139
'M,�TON�. CARMEL IN 46032 CHECK DATE: 07/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2018041 1,043.50 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 357888 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CARMEL CLAY PARKS & RECREATION IN SUM OF$ 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
$1,043.50
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
2018-041 50-239.90 $1,043.50 1 hereby certify that the attached invoice(s),or 7/2/18 2018-041 $1,043.50
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,July 23,2018
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
Carmel • Clay Invoice
Parks&Recreabon Date Invoice#
1411 E 116th Street 7/2/2018 2018-041
Carmel, IN 46032
Bill To
City of Carmel
Jim Spelbring
One Civic Square
Carmel, IN 46032
Due Date
8/2/2018
Quantity Description Rate Amount
Monon Community Center Corporate Passes for June 2018
59 Adult Pass 8.50 501.50
2 Youth Pass 5.25 10.50
1 Senior/Military Pass 7.50 7.50
26 Household Pass 19.75 513.50
2 Senior(Legacy) Pass 5.25 10.50
Subw-fl.fted To
I!
JUL 2 4 2018
Clark " TFdoer —�
Remit to:
Carmel Clay Parks &Recreation Total Due $1,043.50
1411 E. 116th St.
Carmel, IN 46032
Thank you!