178317 10/14/2009 a CITY OF CARMEL, INDIANA VENDOR: 363436 Page 1 of 1
ONE CIVIC SQUARE MICHAEL NOWICKI CHECK AMOUNT: $30.00
CARMEL, INDIANA 46032 1411 W SUPERIOR ST APT GARDEN
CHICAGO IL 60642 CHECK NUMBER: 178317
CHECK DATE: 10/14/2009
DEPARTMENT ACCO PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4239039 30.00 GENERAL PROGRAM SUPPL
Carmel Clay
Parks &Recreation CHECK REQUEST
2� J
Date:
pCT
0 1 1009
Check payable to 7
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Name: I' ZI O(Jvyj i
Address: i O( ,4?�,�c dew
City, State, Zip C Cc, qp j-
_Z check to payee Return check to requestor
Check Amount Date Required 12 0
Check needed for L CSI r
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO# Z2 �Gg
Budget account GL T�. 4M 5ZO M 9_
Budget Line Description AlA �IpQ!q)(Av" /Q t-�
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager): 1`Pn'
on this date
Form revised 1 -21 -08
y
Mononkenter
AT CENTRAL PARK
Wednesday, September 30, 2009
MEMO OCT U 1 1009
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 1 St place Andre Khailo $150.00
2nd place Stephen Clyde $150.00 2nd place Jian Chen $75.00
P X11
3 place David Stout N°owickQ$3q.00
Division C: Division D:
1 St place Cameron Luo $100.00 1 St place Ken Li $75.00
2nd place Xiaofeng Guo $50.00 2 place Xiaofeng Guo $40.00
3 place Ken Li $25.00 3 place Kevin Mi $20.00
Divison E:
1 St place Tim Stevens $75.00
2nd 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.
Nowicki, Michael Terms
9 1411 W Superior St., Apt. Garden
Chicago, IL 60642
Invoice Invoice [description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9126109 9/26 USATT USATT Tournament winner 22668 30.00
Total 30.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Nowicki, Michael Allowed 20
1411 W Superior St., Apt. Garden
Chicago, IL 60642
In Sum of
4 30.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9/26 USATT 4239039 30.00 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
30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund