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