204922 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365528 Page 1 of 1
ONE CIVIC SQUARE PASSWORD COMMUNITY MENTORING INS CHECK AMOUNT: $2,915.00
CARMEL, INDIANA 46032 4720 KINGSWAV DRIVE, STE 400
INDIANAPOLIS IN 46205 CHECK NUMBER: 204922
CHECK DATE: 12/20/2011
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 1704 2,915.00 EXTERNAL INSTRUCT FEE
commum r MEN,ORING, INC. Invoice
4720 Kingsway Drive, Ste 400
Indianapolis, IN 46205 Date Invoice
12/02/11 1704
Bill To i n
Ben Johnson km P
Carmel Clay Parks Recreation P.O.
1235 Central Park Drive East L.
Carmel, IN 46032 Bud C
Una Descr CX��t� 1 r��
Purchaser
Approval Date S 1 l
Description Amount
Professional Development: Afterschool program staff Phase 1 1,240.00
Professional Development: Afterschool program staff Phase 11 1,675.00
Total $2,915.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
365528 PassWord Community Mentoring, Inc. Terms
4720 Kingsway Drive, Ste 400
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
12/2/11 1704 Professional development ESE 30259 2,915.00
Total 2,915.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
365528 PassWord Community Mentoring, Inc. Allowed 20
4720 Kingsway Drive, Ste 400
Indianapolis, IN 46205
In Sum of$
2,915.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 1704 4357004 2,915.00 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
15 -Dec 2011
Signature
2,915.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund