HomeMy WebLinkAbout204424 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 363439 Page 1 of 1
ONE CIVIC SQUARE U S A TABLE TENNIS
4525 FOREST VIEW AVE CHECK AMOUNT: $299.95
CARMEL, INDIANA 46032
ROCKFORD IL 61108 CHECK NUMBER: 204424
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 13106 299.95 GENERAL PROGRAM SUPPL
USA Table Tennis I n vo i ce
1 Olympic Plaza NOV 2
Date invoke
Colorado Springs, CO 80909
(719) 866 -3284 111112011 13106
Bill To
Carmel Clay Parks Recreation
1235 Central Drive East
Carmel, IN 46032
P.O. No. Terms Project
Due upon Receipt
Quantity Description Rate Amount
MCC Fall Open 2011 Tournament Report Fees
Tournament Date 10/22/11 Fees due by 11/22/11 to avoid penalty
3 Adult 1 Year Membership Fee 49.00 147.00
Club Membership Discount (15 -22.05 -22.05
25 Tournament Processing Fee 7.00 175.00
Purchase M CC F6J OE11 �0
Description
P.O. M 4Q9Z i 3 P or(b
G.L i 50. Z 0
Budget
Line Descr
Purchaser Da e Z
Appro Date t I t l
Please reference invoice number with your payment
Total $299.95
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.
363439 USA Table Tennis Terms
1 Olympic Plaza
Colorado Springs, CO 80909 -5769
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1111111 13106 Membership Tournament fee 30244 299.95
Total 299.95
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
363439 USA Table Tennis Allowed 20
1 Olympic Plaza
Colorado Springs, CO 80909 -5769
In Sum of
299.95
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 13106 4239039 299.95' 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
1 -Dec 2011
Signature
299.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund