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178096 10/14/2009
CITY OF CARMEL, INDIANA VENDOR: 363417 Page 1 of 1 ONE CIVIC SQUARE JOSEPH COCHRAN CHECK AMOUNT: $250.00 CARMEL, INDIANA 46032 52222 TALLY HO DRIVE w ;oN SOUTH BEND IN 46635 CHECK NUMBER: 178096 CHECK DATE: 10/14/2009 R,EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 9 /26USATT 250.00 GENERAL PROGRAM SUPPL Carmel ®Clay A Parks &Recreation CHECK REQUEST Date: i OCT 0 1 2009 Check payable to lI: +I. Name: 5 55ea h c ockf gll Address: Sao o Tg/I D r, City, State, Zip S�u7X' .eeAdN Y6635 V Mail check to payee Return check to requestor Check Amount Z50 U© Date Required 101 k Check needed for jam nau (1' l l Jmup AA wk I I n/�11 in T� I"�01' n 6 l V1 Supporting documentation or receipt(s) MUST be attached. To be paid from PO# 2Z(4R Budget account GL !4 7 1 4W �2 0 21OS Budget Line Description ldt P,(o�lUn, vD lIC� Requested by (print): Le; Requested by (signature): M& 14il— Approved by (signature of Division Manager): T (1 ��Y C( L3bL(�j on this date Form revised 1 -21 -08 The Monon Center AT CENTRAL PARK Wednesday, September 30, 2009 MEMO OCT 0 1 2009 To: Audrey K, Business Services Division Manager �C 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: 1 place �JosepfwCoehran $250:0b 1 place Andre Khailo $150.00 2 nd place— Stephen Clyde $150.00 2 nd place Jian Chen $75.00 3rd place David Stout $75.00 3rd place Michael Nowicki $30.00 Division C: Division D: 1 place Cameron Luo $100.00 1 place Ken Li $75.00 2 nd 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 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. Cochran, Joseph Terms 52222 Tally Ho Drive South Bend, In 46635 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 250.00 Total 250.00 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. Cochran, Joseph Allowed 20 52222 Tally Ho Drive South Bend, In 46635 In Sum of cv 250.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 9/26 USATT 4239039 250.00 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 250.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund