174025 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362249 Page 1 of 1
ONE CIVIC SQUARE RODERICK LIPSCOMB
CARMEL, INDIANA 46032 FIRST DOWN ASA CHECK AMOUNT: $1,190.00
6100 N KEYSTONE AV
CHECK NUMBER: 174025
INDPLS IN 46220
CHECK DATE: 6/24/2009
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4340800 2.1 1,190.00 ADULT CONTRACTORS
:Z ,y
First Down ASA HNVOICE
6100 North Keystone Suite 245
Indianapolis, IN 46220
Phone (317)313 -1092 INVOICE #2.1
DATE: JUNE 3, 2009
TO: CARMEL CLAY PARKS AND RECREATION FOR: ENRICHMENT CLASSES
First Down After School Flag Football _T
1235 Central Park Dr. East
Carmel,IN 46032
317 573 -5250 JUN 0 4 2009
DESCRIPTION HOURS RATE AMOUNT
Mohawk Trails Mondays Apr 13, 20, 27 Grades K -2 3 $85 $255.00
Orchard Park Tuesdays Apr 14, 21, 28 Grades 3 -5 3 $85 $255.00
West Clay Tuesdays May 5, 12, 19, 26 Grades 3 -5 4 $85 $340.00
West Clay Thursdays May 7, 14, 21, 28 Grades K -2 4 $85 $340.00
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TOTAL 1190.00
Make all checks payable to Roderick D. Lipscomb or First Down After School Activities
First Down After School Activities 6100 N. Keystone Avenue, Suite 245 Indianapolis, IN 46220
Phone: (317) 313 -1092 Fax: (317) 466 -1710 E -mail: lipscombrd @gmail.com
ACCOUNTS PAYABLE VOUCHER
04 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.
362249 Lipscomb, Roderick Terms
First Down ASA
6100 North Keystone Ave
Indianapolis, In 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/3/09 2 1 E squared classes 20898 �F 1,190.00
Total 1,190.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
362249 Lipscomb, Roderick Allowed 20
First Down ASA
6100 North Keystone Ave,
Indianapolis, In 46220 In Sum of
1,190.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 2 1 4340800 1,190.00 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
18 -Jun 2009
Signature
1,190.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund