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160055 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 360945 Page 1 of 1 ONE CIVIC SQUARE S S I, INC CARMEL, INDIANA 46032 1561 CHARITY CHASE DRIVE CHECK AMOUNT: $1,665.00 WESTFIELD IN 46074 CHECK NUMBER: 160055 CHECK DATE: 5/28/2008 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4340800 177 847.00 ADULT CONTRACTORS 1047 4340800 178 818.00 ADULT CONTRACTORS Y l i ssl, Inc. Invoice 1561 Charity Chase Drive Date Invoice or INCinNn Westfield, IN 46074 4/28/2008 177 Bill To Monon Center Kate Schneider P.O. No. Terms Project Net 15 Quantity Description Rate Amount 9 Officials provided for league games (Men's League) 27.00 243.00 3 Officials provided for league games (Co -ed league) 27.00 81.00 4 Officials provided for league games (Women's League includes Sunday night 27.00 108.00 championship) 20 Dodgeball Official (Co -ed league) 20.75 415.00 Submitted 4/28 resubmitted 5/5�`+ M d 3 2008 Total $947.00 SSI, Inc. Invoice 1561 Charity Chase Drive Date Invoice a{INDIANA Westfield, IN 46074 5/5/2008 178 t Bill To Monon Center Kate Schneider P.O. No. Terms Project Net 15 Quantity Description Rate Amount 12 Officials provided for league games (4/30 men's league) 27.00 324.00 6 Officials provided for league games (5/1 co -ed) 27.00 162.00 16 Dodgeball Official (5/2 co -ed) 20.75 332.00 Submitted 5/5 VED M Y 200 8 8 7 1e Total $818.00 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. F Payee Purchase Order No. S S I, Inc. 1561 Charity Chase Dr. Date Due Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/28/08 177 Officials for league games 847.00 5/5/08 178 Officials for league games 818.00 Total 1,665.00 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. 3(;::3 q +E) Allowed 20 S S I, Inc. 1561 Charity Chase Dr. Westfield, IN 46074 In Sum of 1,665.00 ON ACCOUNT OF APPROPRIATION FOR 104- Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 177 4340800 847.00 1 hereby certify that the attached invoice(s), or 1047 178 4340800 818.00 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 23 -May 2008 6 Signa u 1,665.00 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund