334389 01/18/19 i
�( ��p''� CITY OF CARMEL, INDIANA. VENDOR: 357888
ONE CIVIC SQUARE CARMEL CLAY PARKS &RECREATION CHECK'AMOUNT: $*....1,076.75*
=a CARMEL, INDIANA 46032 1411 E 116TH ST CHECK NUMBER: 334389
,,pro CARMEL IN 46032 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT I DESCRIPTION
301 5023990 2019-002 1,076.75 OTHER; EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No;201(Rev.1996)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 357888
CARMEL CLAY PARKS & RECREATION IN SUM OF$ CITY OF CARMEL
1411 Ell6T H ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates perday,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$1,076.75
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
2019-002 50-239.90 $1,076.75 1 hereby certify that the attached invoice(s),or 1/9/19 2019-002 Monon Passes Dec 2018 $1,076.75
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
Monday,January 14,2019
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
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Carmel Cla Invoice
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Parrs&Recreation Date Invoice#
1411 E 116th Street i
Carmel, IN 46032 1/9/2019 2019-002
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Bill To
City of Carmel
Jim Spelbring
One Civic Square
Carmel, IN 46032
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Due Date
2/9/2019
Quantity Description Rate! Amount
Monon Community Center Corporate Passes for December 2018
58 Adult Pass 8.50 493.00
1 Youth Pass 5.25 5.25
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2 Senior/Military Pass 7.50 15.00
28 Household Pass 119.75 553.00
2 Senior(Legacy) Pass 5.25 10.50
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Submitted To
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JAN 10 2019
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Clerk TrP
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Remit to:
Carmel Clay Parks&Recreation Total Due!
1411 E. 116th St. $1,076.75
Carmel, IN 46032
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Thank you!