184641 04/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351526 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY SCHOOLS
i CHECK AMOUNT: $800.00
CARMEL, INDIANA 46032 5201E 131ST ST
ATTN: ACCT RECEIVABLE CHECK NUMBER: 184641
CARMEL IN 46033
CHECK DATE: 4/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4353099 0 800.00 RENT
CLAY
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Please return this form with payment to:
Mr. Roger McMichael
Carmel Clay Schools
5201 E. Main Street, Carmel, IN 46033
Phone: 317 844 -9961 Fax: 317 571 -4458
INVOICE DATE: 3/29/2010
CONTACT: Joyce Myers Make Checks Payable to: Carmel Clay Schools
Group Name: City of Carmel
Contact: David Littlejohn
Address: One Civic Square
City, State, Zip. Carmel, IN 46032
Building: Carmel Middle School
Reservation Date(s): May 15 and June 19, 2010
BMW MARMU-93M
Rent: Facility 1 Classroom/Parking Lot
Facility 2
Facility 3
Custodial /Utilities: 7:00 AM 5:00 PM 10 hours x 2 dates 20.00 $40 $800.00
Additional Custodian: $36
Kitchen Staff: 1 $34
Auditorium Director: 0 $52
$52
Auditorium Student Assistants: $14
$14
Make Check Payable to:
CARMEL CLAY SCHOOLS
Please make additional copies of this invoice
as needed and send a copy with each payment
to ensure proper credit for payment.
Payment Due Date
50% by May 1 150% by June 1
0 a r A r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel- Clay Schools
IN SUM OF
5201 E. 131 st Street
Carmel, IN 46033
$800.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel ROCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 43- 530.99 $800.00 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
Frida April 23, 2010
irector, DOC
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/29/10 Bike safety training $800.00
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