178168 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363422 Page 1 of 1
j R ONE CIVIC SQUARE XIAFENG GUO
s. I CARMEL, INDIANA 46032 1175 PINEVILLE ROAD, APT. 97 CHECK AMOUNT: $90.00
CHATTANOOGA TN 37405 CHECK NUMBER: 178168
CHECK DATE: 10/14/2009
_D EPART M ENT ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 9 /26USATT 90.00 GENERAL PROGRAM SUPPL
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Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 7/ _z 6 r.
T 0 1 1009
Check payable to
Name: Cj D
Address Q i ��11Ei d I�� A,
City, State, Zip Q o c-�
Mail check to payee Return check to requestor
Check Amount O 06 Date Required i D f 4 0 4
Check needed for Z Kle
XY��
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO Z 2 (4q
Budget account GL 4`�, 4w. s Za q 'Z
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Budget Line Description P tofu
Requested by (print):
Requested by (signature): 2[
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Mononkenter
ATCENTRALPARK
Wednesday, September 30, 2009
MEMO OCT
To: Audrey K, Business Services Division Manager 9 OO6f.Oe,,
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— Joseph Cochran $250.00 1 place— Andre Khailo $150.00
2 nd place Stephen Clyde $150.00 2nd place Jian Chen $75.00
3rd place David Stout $75.00 3 place Michael Nowicki $30.00
Division C: Division D:
15t place Cameron Luo $100.00 1 place Ken Li $75.00
dace tt Xiaofe G uo 550.00' place X ai feng G o
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3 place Ken Li $25.00 3rd place Kevin Mi $20.00
Divison E:
1 place —Tim Stevens $75.00
2 "d 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.
Guo, Xiafeng Terms
1175 Pineville Rd Apt 97
Chattanooga, TN 37405
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9126109 9126 USATT USATT Tournament winner 22668 90.00
Total 90.00
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.
fi Guo, Xiafeng Allowed 20
1175 Pineville Rd Apt 97
a Chattanooga, TN 37405
In Sum of
90.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9/26 USATT 4239039 90.00 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
0
Signature
90.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund