HomeMy WebLinkAbout201372 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 365312 Page 1 of 1
ONE CIVIC SQUARE LISA PICEK
s CHECK AMOUNT: $342.00
CARMEL, INDIANA 46032 16121 DANDBORN GREEN
4 «off -o WESTFIELD IN 46074 CHECK NUMBER: 201372
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 342.00 ADULT CONTRACTORS
Lisa Picek
U.S.A
INVOICE
Bill To IAVOice INV -1
Carmel Clay Parks and Ii ivdI6e,&9ite 19 Aug 2011
Recreation
Terms. Due On Receipt
,o
1235 Central Park West Due bate, 19 Aug 2011
Carmel, Indiana 46032 P.O.#
Item Descri "tion Qt ':RMel Amount
July Masters 4.00 35.00 140.00
July Masters Pro Rate 1.00 9.00 9.00
August Masters 5.00 35.00 175.00
August Masters Pro Rate 1.00 18.00 18.00
Thanks for your business. Please mail check to Lisa Picek at 16121 Dandborn Green, Sub Total: 342.00
Westfield, IN 46074. Any questions feel free to contact me directly at 201 705 -2101. Thank
you! Total: 342.00
Payment made: I O.00
Balance Due: S 342.00
Purchase
Description ��"4 e
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PA. P or F
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Budget
LineDescr
Purchaser I)ateA�/
Approval Date L AUG 2 20
U7
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly 'itemized st show; kind of service, where prep pee unit e dates service rendered, by
whom, rates per day, number of h rate N
Payee Purchase Order No.
Terms
365312 PlcekL�sa a
Team Go Triathlon
16121 Dandborn Green
Westfield, IN 46074
Invoice Invoice Description.; PO Amount
Date Number (or note attached invoice(s) or bill(s))
8119111 INV1 Team Go Jul Masters Au Masters
28913 342.00
Total 342.00
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.
365312 picek Lisa Allowed 20
Team Go Triathlon
16121 Dandborn Green
Westfield, IN 46074 In Sum of
*checks need to be
342.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. osCCT #/TITLE AMOUNT Board Members
Dept
1096 -10 INV1 4340800 342.00 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
3 -Sep 2011
Signature
342.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund