189898 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364704 Page 1 of 1
0 ONE CIVIC SQUARE MARION COUNTY COMMISSION ON YO T�
CARMEL, INDIANA 46032 3901 N MERIDIAN HECK AMOUNT: $1,402.50
INDIANAPOLIS IN 46205
CHECK NUMBER: 189898
CHECK DATE: 9114/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 51002 1,402.50 EXTERNAL INSTRUCT FEE
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Description p or F
P.O. INVOICE 051002
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TO: MCCOY
Attn: Ben Johnson
Carmel Clay Parks and Recreation 3901 N. Meridian Indianapolis, In 46205
Phone: 317 -921 -1267 1 Fax: 317- 921 -1298
1235 central ark Drive East www.mccoyouth.org
Carmel, In 46032
Item Description
YPQA 12 participants for YPCZA Basics workshop, 11 self assessment
tools, 6 External assessments 1yr access to score reporter,
technical support, 12 participants for planning w /data workshop.
INbRKSU p� lnlAS N 8/r 7�0
Terms Total Amount Amount due Due date
25% of total $1402.50 $3 0.63 Upon receipt
amount or full
amount `BULL- (IEPosCT
AY ou k N 0`r P D
DUE
Make all checks payable to MCCOY
THANK YOU FOR YOUR BUSINESS!
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.
MCCOY Terms
3901 N Meridian
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8127/10 51002 Workshop 8117/10 23903 1,402.50
Total 1,402.50
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.
MCCOy Allowed 20
3901 N Meridian
Indianapolis, IN 46205
In Sum of
1,402.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 51002 4357004 1,402.50 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
9 -Sep 2010
Signature
1,402.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund