HomeMy WebLinkAbout178095 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363416 Page 1 of 1
ONE CIVIC SQUARE STEPHEN CLYDE CHECK AMOUNT: $150,00
CARMEL, INDIANA 46032 5813 SAINT SIMONS DR
INDIANAPOLIS IN 46237 CHECK NUMBER: 178095
CHECK DATE: 10/14/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 9 /26USATT 150.00 GENERAL PROGRAM SUPPL
j
I
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: c( 1 -2% l
OCT 0 1 2009
0
Check payable to o......,.,..a.a,.....
Name: 5f f �e.t "�`7 7 7 �D
Address: 3 .SCz tt SGk OkS Or
City, State, Zip T(7 Z 7
Mail check to payee Return check to requestor
Check Amount 1 �V t'�d Date Required 1 a 1 2 O
Check needed for r! �1 1
r
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO 22 W?
Budget account GL 4 //1 7, r j Z 6
Budget Line Description Ndu 11 N f:4 -r kn, S 1 2 D. i e
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Mononkenter
ATCENTRALPARK
Wednesday, September 30, 2009 .a 0
MEMO tl I O 0 1 2009
To: Audrey K, Business Services Division Manager
From: Tess Pinter, Recreation Manager
Purpose: Carmel Clay Parks Recreation hosted a Table Tennis Tournament on Saturday, September
26 All participants paid a set fee to enter the tournament. The top 3 winners in each division will
receive prize money in the form of a check. The amount per winner is below.
Division A: Division 8:
1st place Joseph Cochran $250.00 1st place Andre Khailo $150.00
placer= Stepp Cl $�1,�50:00 2� place Jian Chen $75.00
3 place David Stout $75.00 3' place Michael Nowicki $30.00
Division C: Division D:
1st place Cameron Luo $100.00 1st place Ken Li $75.00
2nd place Xiaofeng Guo $50.00 2 nd place Xiaofeng Guo $40.00
3` place Ken Li $25.00 3 place Kevin Mi $20.00
Divison E:
1 place Tim Stevens $75.00
2 nd place Craig Simon $40.00
3 place Max Hite $15.00
USATT Official- Al Grambo $150.00
USATT Fees- $509.00
1235 Central Park Drive East Carmel, Indiana 46032 I P 317.848.7275 1 F 317.573.5254 1 www.carmelclayparks.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.
Clyde, Stephen Terms
5813 Saint Simons Dr
Indianapolis, IN 46237
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/26/09 9/26 USATT USATT Tournament winner 22668 150.00
Total 150.00
I 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.
Clyde, Stephen Allowed 20
5813 Saint Simons Dr
Indianapolis, IN 46237
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9/26 USATT 4239039 150.00 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
7 -Oct 2009
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund