178259 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363430 Page 1 of 1
ONE CIVIC SQUARE LOK CHUNG LI
al CARMEL, INDIANA 46032 3365 BURLINGAME BLVD CHECK AMOUNT: $100.00
WESTFIELD IN 46074
CHECK NUMBER: 178259
CHECK DATE: 10/14/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4239039 100.00 GENERAL PROGRAM SUPPL
Carmel ®Clay
Parks &Recreation CHECK REQUEST
Date:
C
fit,�
Check payable to OCT 0 1 2009
Name: Lr)w (L vii L
Address: 3 3 Ri tj I, r Iphe W V
City, State, Zip Wes- d 1 4(,6
Mail check to payee Return check to requestor
Check Amount oc) Date Required IO 1 Z r 't
C heck needed for
I hir A(C in :70 "V L i/N N A6 r\ 1k^r lca�� Q, h
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO
�1
Budget account GL 47. 40 0 5 ZO
Budget Line Description ABU 4 ?(aKuy, ?(early, SvoaI �wS
Ij
Requested by (print): pk� e'_
Requested by (signature): 14146z
Approved by (signature of Division Manager): I 6 7 kS QInk 9 1:3010
on this date
Form revised 1 -21 -08
Mononkenter
ATCENTRALPARK
Wednesday, September 30, 2009
MEMO r OCT 0 1 009 11)1
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 B:
1 place Joseph Cochran $250.00 1 place Andre Khailo $150.00
2pd 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:
1St place —Cameron Luo $100.0015 K ELI p$75;.00'
2 nd place Xiaofeng Guo $50.00 2nd place Xiaofeng Guo $40.00
°3` e= KenLi$2 00 3 place Kevin Mi $20.00
Divison E:
1 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 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.
Li, Lok Chung Terms
3385 Burlingame Blvd
Westfield, IN 46074
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 100.00
Total 100.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Li, Lok Chung Allowed 20
3385 Burlingame Blvd
Westfield, IN 46074
In Sum of
100.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9/26 USATT 4239039 100.00 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
100.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund