165285 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 357100 Page 1 of 1
ONE CIVIC SQUARE INDY PARKS CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 3549 BOULEVARD PLACE
w o INDIANAPOLIS IN 46208 CHECK NUMBER: 165285
CHECK DATE: 10/29/2008
DE PARTMENT ACCOUNT PO NUM INVOI NUMBER AMOUN DE SCRI PT ION
2201 4357004 18735 225.00 COURSE REGISTRATION
i
z i k1 i 1 q P
To City of Carmel for Jason Force Your PO# 18735
Make Check Payable To: Indy Parks
VENDOR NAME Indy Parks Federal Excise Tax Exempt 35- 6001063
ADDRESS 601 E 17 Street
CITY,STATE, ZIP Indianapolis In 46202
Our Invoice 133378 1020
TODAY'S DATE 10/20/08
QTY DESCRIPTION UNIT AMOUNT
1 AFO Registration —Jason Force $225.00 $225.00
$225.00
Make checks payable to Indy Parks. Thank you.
Any questions, please contact Dee Dickerson 317 327 -5588
Prescribed by State Board of Accounts City Form No. 201 (aev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/20/08 $225.00
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
2a
Clerk- Treasurer
VOUCHER NO. W NO.
ALLOWED 20
The City of Indianapolis, Indy Parks
IN SUM OF
601 E. 17th Street
Indianapolis, IN 46202
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
P Board Members
18735 43- 570.04 $225.00 I 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
ih rsd. October 23, 2008
{1
Street Commi ioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund