176441 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 356663 Page 1 of 1
ONE CIVIC SQUARE SKYHAWKS SPORTS ACADEMY INC CHECK AMOUNT: $9,360.00
CARMEL, INDIANA 46032 6311 E MT SPOKANE PARK DR SUITE B
MEAD WA 99021 CHECK NUMBER: 176441
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT P O NUMBER IN VOICE NU MBER AMOUNT DESCRIPTION
1046 4340800 1670920810 9,360.00 ADULT CONTRACTORS
Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B
Mead, WA 99021
3 loos
wks,
U(ha
Carmel Clay Parks and Recreation
1411 Ell 6th St (800) 804 -3509
Purchase
Carmel, IN 46032 Description 'Amy
P.O. as 3LIL7 P
G. L. Lj (5 90O q 340900
Invoice Date: 27 Jul 2009 SUtTemary Budget
Invoice Number: 1670920810 Irne Desc r EE C1 i i1 Tj� I�
Print Date 7/27/2009 u PurctEeser pate_..
Org ID 1670 Approval Date
Fees
Collected by Org Tuition Owed Amount
Event Course Number Activity Date Org Commission To 55A
Smoky Row Elementary 476009 -16 Multi- Sport✓ 06 Jul 10 Jul 2009 $3,650.00 $1,277.50 2,372.50
Smoky Row Elementary 476009 -17 Multi -Sport 06 Jul 10 Jul 2009 $450.00 $157.50 292.50
Smoky Row Elementary 476009 -18 Lacross i3 06 Jul 10 Jul 2009 22 $2;450:000'2�$8,SY50 I`t x 50
Creekside Middle School 476009 -20 Tenni o 13 Jul 17 Jul 2009 $+eGG"0 6k" 1,4De40aA?''j2,600.W
Monon Center West 476009 -21 Volleyball 13 Jul 17 Jul 2009 $2,275.00 $796.25 1,478.75
Smoky Row Elementary 476009 -19 Baseball 13 Jul 17 Jul 2009 $2,000.00 $700.00 1,300.00
Balance Owed to Skyhawks:
Details on attached page(s).
Please Cut and Return this bottom'portion with payment (If applicable) 'pay ON Ly
1
Org Tuition Commission Details
Region Area SubArea: Midwest Indiana (Central) Indianapolis y o
Smoky Row Elementary .Multi -Sport 06 Jul 10 Jul 2009 9:00AM- 12:001 Ages: 4 -7 2QQ
Course Number -Note: 476009 -16
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Not
Organization Paid Participants 29.00 $3,625.00 35.00% $1,268.75
Organization Organization Partial 1.00 $25.00 35.00% $8.75 Abbic Markus Partial refund
Event Commission Amount: $1,277.50 $2,372.50
smoky Row Elementary Multi -Sport 06 Jul 10 Jul 2009 12 :30PM- 2:001 Ages: 3-4
Course Number Note: 476009 -17
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 6.00 $450.00 35.00% $157.50
Event Commission Amount: $157.50 $292.50
Smoky Row Elementary Lacrosse 06 Jul 10 Jul 2009 9:OOAM 3:OOPM Ages: 8 14
Course Number- --Note: 476009-18
Taken By Name Count Collected Comm Amt To Orq Amt To SSA Billing Item Note
Organization Paid Participants 14.00 $2,450.00 35.00% $857.50
Event Commission Amount: $857.50 $1,592.50
Creekside Middle School Tennis 13 Jul 17 Jul 2009 9:00AM 12:001 Ages: 6 10
Course Number Note: 476009 -20
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 32.00 $4,000.00 35.00% $1,400.00
Event Commission Amount: $1,400.00 $2,600.00
Monon Center West Volleyball 13 Jul 17 Jul 2009 9:OOAM- 3:OOPM Ages: 6 -12
Course Number Note: 476009 -21
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 13.00 $2,275.00 35.00% $796.25 2 Kcaveney participants scholarshipped
Event Commission Amount: $796.25 $1,478.75
Smoky Row Elementary Baseball 13 Jul 17 Jul 2009 9:OOAM- 12:OOPM Ages: 4 -7
Course Number Note: 476009 -19
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 16.00 $2,000.00 35.00% $700.00 Powell and ttussell scholarshipped
Event Commission Amount:. $700.00 $1,300.00
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
7127109 1670920810 Multiple sports camps 22345 9,360.00
Total 9,360.00
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
i
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
9,360.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE N0. ACCT #/TITLE AMOUNT Board Members
Dept
1046 1670920810 4340800 9,360.00 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
13 -Aug 2009
LIP I
U Signature
9,360.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund