HomeMy WebLinkAbout193065 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 362752 Page 1 of 1
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ONE CIVIC SQUARE CITYTECH USA INC
CHECK AMOUNT: $425.00
„�i.. CARMEL, INDIANA 46032 7228 O'NEILL ROAD
a DOWNERS GROVE IL CHECK NUMBER: 193065
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER IN VOIC E NUMBER AMOUNT DESCRIPTION
1125 4355300 1391 425.00 ORGANIZATION MEMBER
F INVOICE
Michael W. Klitzing,
CPRP Invoice 1391
Invoice Date: 12/06/2010
Assistant Director nfParks Recreation
Account 4831.9AA9
Carmel Clay Parks Recreation
1411 E 116th Street
Carmel, IN 46032
4 DEC 10 2010 L�
'P RENEWAL'TERM
AYMENTrDUE7
01/05/2011 1 Year
Mescri tioniS uniuPric Total
1 PublicSalary Annual [PRA -L, $7M+ $425.00 $425.00
Membership
Description rlUtaL el H (P Subtotal $425.00
P.o. P o�F
G.L. lla'� 43S53o� Balance $0.00
Bud Forward
Line Descr ORC 3 2 ClZ 4 rreMb fK r
C S
Bala�nce $425.00
Purchaser pate
Thar PTA T it J1 5011t.1fm and participation! If needed, you can find a copy
of our W -9 a p:// www.citytechusal.com /pdf /w9.pdf
Reminder: Your account expires Dec 31, 2011
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.
362752 City Tech USA, Inc. Terms
7228 O'Neill Road
Downers Grove, IL 60516
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1216110 1391 Public salary Annual membership 28026 425.00
Total 425.00
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.
362752 City Tech USA, Inc. Allowed 20
7228 O'Neill Road
Downers Grove, IL 60516
In Sum of
425.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITt AMOUNT Board Members
Dept
1125 1391 4355300 425.00 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
16 -Dec 2010
Signature
425.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund