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HomeMy WebLinkAbout178393 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363424 Page 1 of 1 ONE CIVIC SQUARE CRAIG SIMON 's CHECK AMOUNT: $40.00 CARMEL, INDIANA 46032 740 RNERVIEW DR KOKOMO IN 46901 CHECK NUMBER: 178393 CHECK DATE: 10114/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 9/26 USATT 40..00 GENERAL PROGRAM SUPPL Carmel Clay Parks &Recreation CHECK REQUEST Date: G Check payable to OCT ZQ�� Name: e4l C I J /J Address: City, State, Zip �o�r�o y Mai! check to payee Return check to requestor Check Amount �7 C 0 Date Required Z Ld 5 Check needed for Zn I n FG fll Oo�r Supporting documentation or receipt(s) MUST be attached. To be paid from PO# Zz6Gg Budget account GL L 1 J 2�} Budget Line Description Y I C Requested by (print): �t�_f Requested by (signature): Approved by (signature of Division Manager): 3OL0 on this date Form revised 1 -21 -08 w The Mononk AT CENTRAL PARK Wednesday, September 30, 2009 J MEMO OCT 0 1 2009 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: 1 place Joseph Cochran $250.00 1st place Andre Khailo $150.00 2 nd place Stephen Clyde $150.00 2nd place Jian Chen $75.00 3 place David Stout $75.00 3 place Michael Nowicki $30.00 Division C. Division D: 1 place Cameron Luo $100.00 1st place Ken Li $75.00 2 place Xiaofeng Guo $50.00 2nd place Xiaofeng Guo $40.00 3 place Ken Li $25.00 3rd place Kevin M i $20.00 Divison E: 1 place —Tim Stevens $75.00 2e "�Crfaig $m n $4p.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 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. Simon, Craig A Terms 740 Riverview Dr Kokomo, IN 46901 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 40.00 Total 40.00 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. Simon, Craig A Allowed 20 740 Riverview Dr Kokomo, IN 46901 In Sum of 40.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1047 9/26 USATT 4239039 40.00 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 40.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund