184290 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 363440 Page 1 of 1
ONE CIVIC SQUARE ALAN GRAMBO
CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 5960 ALLISONWOOD COURT
INDIANAPOLIS IN 46250 CHECK NUMBER: 184290
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1023 150.00 GENERAL PROGRAM SUPPL
From: Alan A. Grambo INVOICE
Certified USATT Referee Invoice no: 1023
5960 Allisonwood. Ct. DATE 13- Mar -10
Indianapolis, IN 46250
Voice317- 842 -2680
TO: Monon Center
Carmel Clay Parks Recreation
1235 Central Park Drive East
Carnel IN 46032
Tel: 317- 848 -7275
QTY I I UNIT PRICE AMOUNT
1 USATT Certified Referee, Regional $150.00 $150.00
Umpire run Monon 13 March 2010 $0.00
Table TennisTournament $0.00
$0.00
$0.00
TOTAL $150.00
Make Check payable to:
Alan A. Grambo
5960 Allisonwood. Ct.
Indianapolis, IN 46250
Purchase n r 1
Description (tt't i L� 1
P.O. P or F
G.L. J OIL -S Q LITZ "A03
Budget II
Line Descr ���-rL
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Purchaser Date
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Approval Date 3 1 a I D
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.
Terms
363440 Grambo, Alan
5960 Allisonwood Ct
Indianapolis, IN 46250
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) PO
150.00
3113110 1023 USATT Tournament Official
Total 150.00
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,
Clerk- Treasurer
Voucher No. Warrant No,
363440 Grambo, Alan Allowed 20
5960 Allisonwood Ct
Indianapolis, IN 46250
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 1023 4239039 150.00 1 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
8 -Apr 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund