HomeMy WebLinkAbout166865 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362249 Page 1 of 1
ONE CIVIC SQUARE RODERICK LIPSCOMB CHECK AMOUNT: $255.00
CARMEL, INDIANA 46032 FIRST DOWN ASA
6100 N KEYSTONE AV CHECK NUMBER: 166865
INDPLS IN 46220
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION
'1046 4340800 100001 -1 T 255.00 ADULT CONTRACTORS
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11/20/2008 13:56 3174669543 TRANSITIONAL ASSIST PAGE 02102
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8 first Down ASA.
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App rov 6 North Keystone Ave.
Indianapolis.,1H 46220
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NOV 2 4 2008
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Bill To: Carmel Clav ParYc`s`. &i Recreation
11fL0/08 flag .Football 100001 -1 Roderick Lipscmb 30 Days
11/04/08 2 Smoky Row Elem- Scbovl n/a $85.00
11f11/08 3 Smoky Row Elem. School n/a $85.00
11/18/08 Q Smoky Row Elem. School n/a $85 00
SWA04W $255,Un
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REMITTANCE
TO Roderick D. Lipscomb
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Anw4tvar 235.00
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First Down ASA 6100 N Keystone ,A ve, S u ite 245 1,adinnnpoVs, XN 46220 US
P4 +c: (317) 313 -1092 Fax; (317) 46"543 E -mail; Upscorrbrd l.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. 19606 F
Lipscomb, Roderick Terms
First Down ASA
6100 North Keystone Ave
Indianapolis, In 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/08 100001 -1 Flag Football Smoky Row Elementary Nov'08 255.00
Total 255.00
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.
Lipscomb, Roderick Allowed 20
First Down ASA
6100 North Keystone Ave
Indianapolis, In 46220 In Sum of
255.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 100001 -1 4340800 255.00 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
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25 -Nov 2008
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Sign ature
255.00 Accounts Payable Coordinator
dger classification if Title
claim paid motor vehicle highway fund