HomeMy WebLinkAbout199154 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365312 Page 1 of 1
ONE CIVIC SQUARE LISA PICEK
CARMEL, INDIANA 46032 16121 DANDBORN GREEN CHECK AMOUNT: $1,384.70
WESTFIELD IN 46074 CHECK NUMBER: 199164
CHECK DATE: 7/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 FIT06062011 1,384.70 ADULT CONTRACTORS
FIT LIVIN
FITNESS WITH A GOAL
INVOICE Purchase
Description Cow
Date: June 13, 201 P.O. PorF
Attention: Carmel Clay Parks and Recreation G.L# 1096.L*- 44-3&IOEFC10
Monon Community Center Bud
Eric Mehl 1.1netsor. W" C0.'A-T- ]L
1235 Central Park Drive East Purchaser, pate _A,�r
Carmel, IN 46032 Approval Da".
Aft-4 Alcoolbot
Project title: Masters Swimming and Triathlon Training
Project description: May Aug Masters Swimming/Triathlon Invoice
P.O. Number: FIT06062011
Invoice N umber: FIT0606201 I
Terms: 30 Days
DESCRIPTION QUANTITY UNIT PRICE COST
May Masters Participants 1 34.65 $34.62
May Aug Masters Participants 5 138.46 $692.30
May Aug Triathlon Participants 3 184.61 $553.83
June Aug Masters Participants (Pro-Rate) 1 103.95 $103.95
$0.00
$0.00
$0.00
$0.00
Subtotal $1384.70
Tax 0.00% $0.00
Total $1384.70
The above invoice is for payment of the May- Aug Masters Swimming and Triathlon Training programs, including
prorated participants.
PLEASE NOTE: TEAM GO TRIATHLON is NOW: Fit Livin'- Fitness with a Goal. The program is still run and
owned by the same individuals only the team name has changed. Thank you.
Please make check payable to: Lisa Picek. 7 �71D�
Sincerely yours, MR 3 2011
Lisa Picek BY.
16121 Dandborn Green, Westfield, IN 46074 T 201- 705 -2101 W www.teanigotriatlilon.com
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.
365312P Lisa a Terms
Team Go Triathlon
16121 Dandborn Green
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6113111 FIT06062011 Swimming and triathlon training 28669 1,384.70
Total 1,384.70
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.
365312 Pcek ILisa, Allowed 20
Team Go Triathlon
16121 Dandborn Green
Westfield, IN 46074 In Sum of
*checks need to bed
fsstJ
1,384.70 L W-
P+ce.K
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 FIT06062011 4340800 1,384.70 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
28 -Jun 2011
P AJQ���—
Signature
1,384.70 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund