197889 05/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365318 Page 1 of 1
ONE CIVIC SQUARE WESTFIELD WASHINGTON SCHOOLS CHECK AMOUNT: $270.00
CARMEL, INDIANA 46032 322 W MAIN STREET
WESTFIELD IN 46074 CHECK NUMBER: 197889
CHECK DATE: 5/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1056 270.00 GENERAL PROGRAM SUPPL
Westfield Washington Schools Invoice
322 W. Main Street Date Invoice
Westfield, IN 46074 5/4/2011 1056
(317 -867 -8019
Bill To I P V
Carmel Clay Parks Recreation 179 W-T
VIAY 2011
Michael Klitzing,e
1411 E 116th Street
Carmel, In 46033
-Terms-
Due on receipt
Quantity Description Rate Amount
Facility Rental for April 6th 23rd 2011 Lifeguarding 200.00 200.00
Class
Custodial Fee 70.00 70.00
Purchase
Description Pc)O L .F� EnT)A l
P.O.# 1 9 P fr F
G.L.
Line Desrr
r uChaser
Date
Mail payments to WWS, 322 W. Main St.,
Westfield, In 46074 Attn: Cindy Bush
Tota 270.00
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.
Westfield Washington Schools Terms
322 W. Main Street
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
514111 1056 Pool rental 28264 270.00
Total 270.00
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.
Westfield Washington Schools Allowed 20
322 W. Main Street
Westfield, IN 46074
In Sum of
270.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -22 1056 4239039 270.00 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
19 -May 2011
Signature
270.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund