HomeMy WebLinkAbout181144 01/13/2010 1 ,4 17,- N.1,..,, CITY OF CARMEL, INDIANA VENDOR: 363761 Page 1 of 1
ONE CIVIC SQUARE CHALLENGER SPORTS CHECK AMOUNT: $1,028.00
1,. CARMEL, INDIANA 46032 8263 FLINT
LENEXAKS 66214 CHECK NUMBER: 181144
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 7- 27 -7 -31 1,028.00 GENERAL PROGRAM SUP PL
Page 1 of 1
2009 Account Reconciliation -ln nvoice^
Carmel Clay Parks and Recreation
Tess Pinter
1235 Central Park Dr EastCarmel, IN 46032
a/27/2009=7/3112009 3
Regional Director: Hoy, Matt Tax ID: 74 -285 -2234
Director:
Number of
Paying Campers Pay We Charge You
Customers This Amount This Amount Total
1 First Kicks 2 $88.00 $62.00 $124.00
2 Mini Soccer 1.5hr 0 $105.00 $75.00 $0.00
3 Mini Soccer 1.5hr 9 $105.00 $75.00 $675.00
4 Half Day 0 $140.00 $99.00 $0.00
5 Half Day 15 $140.00 $99.00 $1,485.00
6 Half Day 0 $140.00 $99.00 $0.00
7 Half Day 0 $140.00 $99.00 $0.00
8 Full Day 9 to 4 5 $189.00 $145.00 $725.00
9 Campers paying rate other than above 1 $0.00 $0.00 $0.00
10 Campers paying rate other than above $0.00 $0.00 $0.00
11 Campers paying rate other than above $0.00 $0.00 $0.00
12 Late fees collected by Coordinator 0
13 Scholarship Campers (not included above)
14 Discount Coupons $0.00
15 Total Campers including Scholarships 32 Total Charges $3,009.00
16 Amount previously received by Challenger $1,866.00
This includes all online payments and checks mailed to Challenger. This does not include late fees collected and retained by Challenger
17 Total Due Line 15 minus line 16 $1,143.00
18 Number of checks submitted with this form 1 Amt $115.00
19 Cash submitted with this form $0.00
x 20 Balance due /Rebate owed $1,028.00
4 rA_`^ a� 7 &„r- V-4 t1 CQni�'3l 'e t e p�,'CaOT' 11> br c l P '4NI A Pr g I
21 I am returning a camp agreement for 2010
Yes C No
22 I understand that 2010 will be the year of our 3 year agreement. Yes t No C
Billing address to where invoices and rebates should be mailed
23 Payee Name Carmel Clay Parks and Recreation
Address 1235 Central Park Dr East
City Carmel St/Zip IN, 46032
le E nCTo be i eturne Br rti s lt, o cc e r Cnnip Dire r P e ,fick box y g og
24 Payment for Camp "k ,-1 77,-
25 Camp Summary•Sheet.
26 Camp Agreement for 2010 v, 0 C 2 5 2 fl Iq p
27 Camp Registers J t 1 L
28 Camper Application Forms
.z
29 Merchandise orders and payment
30 Directors Report Sheet Purchase
31 Car Report forms Descrlptlbn
32 Unused Expenses i...lrrw: I P 0,
*All information provided herein is subject to verification by Head Office d L wawa
-mm -w r �7 2
Bud•et J0,� C�`�
*I Camp Coordinator Signature Camp Director Please Print
Challenger Sports 8263 Flint, Lenexa, KS 66214 800 -878 -2167 913 -599 -2827 fax Purchase ,Date..........
k o Approvalre-W> re04e-r Date id/ 441 I 09
htt www. challengeradmin. com/ AccountingForm /AccountingForm.asp ?CampId -85 51... 12/15/2009
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Challenger Sports Terms
8263 Flint
Lenexa, KS 66214
Invoice Invoice Description
Date Number (or note attached invoice(s)' or bill(s)) PO Amount
12/15/09 7/27-7/31/09 Soccer clinic 23023 F 1,028.00
Total 1,028.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Challenger Sports Allowed 20
8263 Flint
Lenexa, KS 66214
In Sum of$
1,028.00
ON ACCOUNT OF APPROPRIATION FOR
104 /0 Program Fund
PO# or Board Members
INVOICE NO ACCT #/TITLE AMOUNT
Dept
4047 7/27 4239039 1,028.00 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
7 -Jan 2010
Signature
1,028.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund