176936 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 356663 Page 1 of 1
ONE CIVIC SQUARE SKYHAWKS SPORTS ACADEMY INC CHECK AMOUNT: $5,850.00
CARMEL, INDIANA 46032 6311 E MT SPOKANE PARK DR SUITE B
MEAD WA 99021 CHECK NUMBER: 176936
CHECK DATE: 91212009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUM AMOUNT D ESCRIPTION
1046 4340800 1670921832 5,850.00 ADULT CONTRACTORS
Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B
Mead, WA 99021
wks
q0G I Wha 4
I
Carmel Clay Parks and Recreation 1411 E 116th St (800) 804 -3509
Carmel, IN 46032
Invoice Date: 06 Aug 2009 S umma ry
Invoice Number: 1670921832
Print Date 8/6/2009
Org ID 4: 1670
Fees
Collected by Org Tuition Owed Amount
Event Course Number Activity Date Org Commission To SSA
140 490.
Smoky Row Elementary 476009 -22 Soccer 20 Jul 24 Jul 2009 $xS 0 $5 25 1,8237591
Smoky Row Elementary 476009 -23 Beginning Golf 20 Jul 24 Jul 2009 $3,750.00 i312 b62 S0 3 37
Smoky Row Elementary 476009 -24 Beginning Golf 20 Jul 24 Jul 2009 $525.00 $183.75 341.25
Smoky Row Elementary 476009 -25 Flag Football 27 Jul 31 Jul 2009a 1501.2.886:0 8.5 `OSOM $x;$20 Off (6qZ,'�'o
Smoky Row Elementary 476009 -26 Cheerleading 27 Jul 31 Jul 2009 $875.00 $306.25 568.75
Balance Owed to Skyhawks:
Details on attached page(s). PAY CAJ 5, e50 OQ
Please Cut and Return this bottom portion with payment (If applicable)
Invoice: 1670921832
Date: 06 Aug 2009
Please include all monies donated to the Campership Fund. Date Due: Sep 5 2009
From:
Carmel Clay Parks and Recreation
1411 E 116th St
Carmel, IN 46032
Please Send Payment to:
Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B Ee co
Mead, WA 99021 TOTAL AMOUNT DUE: 46
1 per month interest charge will be imposed on all Invoices over 30 days.
Purchase
Deemp"M
P.O.# PorF
G.L N
Budget
Une Descr
Purchaser Date
Approv Date
6- la-09 t ti r7 c% lu-4
Org Tuition Commission Details
Region Area SubArea: Midwest> Indiana (Central) Indianapolis
Smoky Row Elementary Soccer 20 Jul 24 Jul 2009 9:OOAM- 3:OOPM Ages: 6 -12
Course Number Note: 476009 -22�
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billinq Item Note
Organization Paid Participants 9.00 $1,575.00 35.00% $551.25
Event Commission Amount: $551.25 $1,023.75
Smoky Row Elementary Beginning Golf 20 Jul 24 Jul 2009 9:00AM- 12:00PM Ages: 5 -9
Course Number Note: 476009 -23
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 30.00 $3,750.00 15.00% $562.50
Event Commission Amount: $562.50 $3,187.50
Smoky Row Elementary Beginning Golf 20 Jul 24 Jul 2009 12:30PM- 2:OOPM Ages: 34
Course Number Note: 476009 -24
Take 7 Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 7.00 $525.00 35.00% $183.75
Event Commission Amount: $183.75 $341.25
Smoky Row Elementary Flag Football 27 Jul 31 Jul 2009 9:OOAM- 3:OOPM Ages: 6 -12
Course Number Note: 476009 -25
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 16.00 $2,800.00 35.00% $980.00
Event Commission Amount: $980.00 $1,820.00
Smoky Row Elementary Cheerleading 27 Jul 31 Jul 2009 9:00AM- 12:00PM Ages: 5 -12
Course Number Note: 476009 -26
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billinq Item Note
Organization Paid Participants 7.00 $875.00 35.00% $306.25
Event Commission Amount: $306.25 $568.75
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.
356663 Skyhawks Sports Academy, Inc Terms
6311 E Mt Spokane Park Dr., Suite B Date Due
Mead, WA 99021
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
816109 1670921832 Multiple sports camps 22410 F 5,850.00
Total 5,850.00
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.
356663 Skyhawks Sports Academy, Inc Allowed 20
6311 E Mt Spokane Park Dr., Suite B
Mead, WA 99021
In Sum of
5,850.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 1670921832 4340800 5,850.00 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
27 -Aug 2009
Signature
5,850.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund