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Home My WebLink About191585 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 363761 Page 1 of 1 s ONE CIVIC SQUARE CHALLENGER SPORTS CHECK AMOUNT: $1,125.00 CARMEL, INDIANA 46032 8263 FLINT LENEXA KS 66214 CHECK NUMBER: 191585 CHECK DATE: 11/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 7/26 -7/30 1,125.00 ADULT CONTRACTORS Page 1 of 2 2010 Account Reconciliationdnvoice Carmel Clay Parks and Recreation British Soccer Camps Lindsay Atkinson 1235 Central Park Dr EastCarmel, IN 46032 7/26/2010 7/30/2010 Regional Director: Lovelace, Michael Tax ID: 74 -285 -2234 Customer ID: 846 Director: Number of Paying Campers Pay We Charge You Customers This Amount This Amount Total 1 First Kicks 1 $95.00 $65.00 $65.00 2 Mini Soccer 1.5hr 2 $108.00 $78.00 $156.00 3 Mini Soccer 1.5hr 3 $108.00 $78.00 $234.00 4 Half Day 9 $145.00 $102.00 $918.00 5 Half Day 2 $145.00 $102.00 $204.00 6 Half Day 6 $145.00 $102.00 $612.00 7 Half Day 4 $145.00 $102.00 $408.00 8 Full Day 9 to 4 3 $210.00 $149.00 $447.00 9 Campers paying rate other than above $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 vf $10.00 $0.00 13 Scholarship Campers (not included above) Recce, Walker ($102.00) Half Day 14 Discount Coupons $0.00 15 Total Campers including Scholarships 30 Total Charges $3,044.00 16 Amount previously received by Challenger $1,919.00 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 $1,125.00 18 Number of checks submitted with this form Amt $0.00 19 Cash submitted with this form $0.00 20 Balance due /Rebate owed $0.00 To be comnletetl liy Camp Coord�nat or r i 1 I 21 1 am returning a camp agreement for 2011 Yes No t 22 1 understand that 2011 will be the year of our 3 year agreement. Yes No Billing address to where invoices and rebates should be mailed 23 Payee Name Carmel Clay Parks and Recreation Address 1235 Central Park Dr l=ast City Carmel St/Zip IN, 46032 To be returned by British Soccer CS,nip Director I Please.tick box 24 Payment for Camp 25 Camp Summary Sheet 26 Camp Agreement for 2011 27 Camp Registers 28 Camper Application Forms 29 Merchandise orders and payment 30 Directors Report Sheet http:// www. chatIengeradmin_ com /AccountingForm /AccountingForm .asp ?Campld 11464 9/7/2010 Page 2 of 2 31 Car Report forms 32 Unused Expenses *All information provided herein is subject to verification by Head Office Camp Coordinator Signature Camp Director Please Print Challenger Sports 8263 Flint, Lenexa, KS 66214 800 -878 -2167 913 599 -2928 fax Purchase/ Purchase Description a Description P.O. P F loq qa-_ PorF 1 (gyp )0 L 0 00 G.L. Budget Li 00 �ttba at1(1/� Blidoet Line Descrk -w r �e �Ascr 70 f w !d r Purchaser Date Pi U ate f d �ooroval Date.,, proval Date OCT 9 62010 BY http:// www. chall engeradmin. com /AccountingForm /AccountingForm .asp ?Campld 11464... 10/22/2010 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 363761 Challenger Sports Purchase Order No. 8263 Flint Terms Lenexa, KS 66214 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/30/10 7/26 7/30/10 Soccer clinic 7/30/10 7/26- 7/30/10 Soccer clinic 24040 131.00 24040 994.00 Total 1,125.00 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. 363761 Challenger Sports Allowed 20 8263 Flint Lenexa, KS 66214 In Sum of 1,125.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO, ACCT #/TITL AMOUNT Board Members Dept 1096 -32 7/26- 7/30/10 4340800 131.00 1 hereby certify that the attached invoice(s), or 1096 -42 7/26- 7/30/10 4340800 994.00 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 4 -Nov 2010 Signature 1,125.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund e