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178303 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: T362017 Page 1 of 1 ONE CIVIC SQUARE NATIONAL ALLIANCE FOR YOUTH SPO CARMEL, INDIANA 46032 2050 VISTA PARKWAY HECK AMOUNT: $1,365.00 WEST PALM BEACH FL 33411 CHECK NUMBER: 178303 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039' 19035 540.00 GENERAL PROGRAM SUPPL 1047 4239039 19036 825.00 GENERAL PROGRAM SUPPL log 1 2050 Vista Parkway West Palm Beach, FL 33411 Fax N umbe r Invo Fax Number (561) 681 -9623 Federal I.D. 59- 2134374 Customer Number 30750 INVOICE NUMBER 19036 BILL SHIP T0: T0: CARMEL CLAY PARKS REC 1235 CENTRAL PARK DR. E CARMEL IN 46032 DATE ORQER� SALESMAN ORDER DATE�,� PURCH4SE ORDERSPECIAL,INSTRUCTIONS' R. 9f17f2009 9f3/2009 22535 ONLINE ORDER# 9211 QUANTITY U /M� DESCRIPTION g��� PRICE z 0EXTENSION ra h'• a.� q, 15.0 SS /GEN PART. KIT 0730 $55.00 $825.00 Purchase ka SiY1 0.X 3 r k Lkpp it S Description P.O. 5 3 P G.L. y L4 oo. 3�0. y 90TO 34 BudQet Line Descx 1�1e1"1C?YoJ- Rm odYI Purchaser Date 9 2 f Q S E P 1 9 200 Approval Deto ..T BY: 34�!�E J s SEP 2009 PAYMENT TERMS Net 0 Due by 9/17/2009 Subtotal $825.00 Tax Freight Charges RECEIVED BY Invoice °$60 2050 Vista Parkway West Palm Beach, FL 33411 AWAME (561) 684 -1141 Fax Number (561) 681 -9623 I nvoice -r!'ll Federal I.D. 59- 2134374 Customer Number 30750 INVOICE NUMBER t 19035 BILL SHIP T0: T0: CARMEL CLAY PARKS REC 1235 CENTRAL PARK DR. E CARMEL IN 46032 RDE ALESMAN� .BORDER DATES PURGHASE ��SP.ECIAL INSTRUCTIONS DATE R ®s+�a.,�s.tiF .„a.. 9/17/2009 9,3/2003 22535 ONLINE OP.DER# 9210 �,reQUAIVTITX$ �,U /M DESCRIFTION�a:, CODE EPRIGE ��EXTENSIQN ,04 15.00 SS /BB PART. KIT 0731 $36.00 $540.00 Purchase Description t t 1 �Y`( LC1 Q O1 S p I S P 95 35 .o. P F G.L.# L n 00. 3 0- 0 y 239 3 9 Budget Line Descr `r Can 3 i eS Purchaser Date q at S/0 P P Zn Approval �I S E P 9 2009 PAYMENT TERMS Net 0 Due by 9/17/2009 Subtotal $540.00 Tax Freight Charges RECEIVED BY Invoice .-AM OUNT $�w0 .uu 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. T362017 National Alliance for Youth Sports Terms 2050 Vista Parkway West Palm Beach, FL 33411 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 9/17/09 19036 Start smart sport supplies 22535 825.00 9/17/09 19035 Start smart baseball supplies 22535 F 54.00 Total 879.00 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. T362017 National Alliance for Youth Sports Allowed 20 2050 Vista Parkway West Palm Beach, FL 33411 In Sum of 87!LW ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 19036 4239039 825.00 1 hereby certify that the attached invoice(s), or 1047 19035 4239039 %,a) 80 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 879.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund