175901 08/06/2009 CITY OF CARMEL., INDIANA VENDOR: 356663 Page 1 of 1
i. ONE CIVIC SQUARE SKYHAWKS SPORTS ACADEMY INC CHECK AMOUNT: $2,762.50
CARMEL, INDIANA 46032 6311 E MT SPOKANE PARK DR SUITE 6
MEAD WA 99021 CHECK NUMBER: 175901
CHECK DATE: 8/6!2009
DEPA AC COUNT PO NUM I NVOICE NU MBER AMO DESCRIPTION
1046 4340800 1670919724 2,762.50 ADULT CONTRACTORS
Skyhawks Sport s Academy, Inc
6311 E. Mt Spokane Park Drive, Suite---
Mead, WA 99021
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Carmel Clay Parks and Recreation (800) 804 -3509
1411 E 116th St
Carmel, IN 46032
Invoice Date: 16 Jul 2009 S u m m a.ry 1
Invoice Number: 1670919724
Print Date 7/16/2009
Org ID 1670 S
Fees
Collected by Org Tuition Owed Amount
Event Course Number Activity G Date Org Commission To SSA
Creekside Middle School 476009-;14 Track and Field 29 Jun 03 Jul 2009. .$4-,7 -60-GO $644.50- $-I -.50
Smoky Row Elementary 476009 -12 Flag Football 29 Jun 03 Jul 2009 $2,625.00 $918.75 1,706.25
Balance Owed to Skyhawks: -$27843x-5-
Details on attached page(s). PA ONLY Q I r 50
Please Cut and Return this bottom portion with payment (If applicable) I Y�
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Invoice: 1670919724 Date. 16 Jul 2009
Please include all monies donated to the Campership Fund. Date Due: Aug 15 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
Mead, WA 99021 TOTAL AMOUNT DUE: $2,84
1 per month interest charge will be imposed on all Invoices over 30 days.
Purchase
Description
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Purchaser Date
Appro Date
®rg Tuition Commission Details
Region Area SubArea: Midwest> Indiana Central)> Indianapolis J, —04
Creekside Middle School Track and Field 29 Jun 03 Jul 2009 9:OOAM- 12:OOPM Ages: 6 -12
Course Number Note: 476009 -14 Q9
Taken By Name Count Collected Comm Amt To Oro Amt To SSA Billing Item Note
Organization Paid Participants 14.00 $1,750.00 35.00% $612.50
Event Commission Amount: $612.50 $1,137.50
Smoky Row Elementary Flag Football 29 Jun 03 Jul 2009 9:OOAM- 3:OOPM Ages: 6 -12
Course Number Note: 476009 -12
Taken By Name Count Collected Comm Amt To Ora Amt To SSA Billing Item Note
Organization Paid Participants 15.00 $2,625.00 35.00% $918.75
Event Commission Amount: $918.75 $1,706.25
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
7116/09 1670919724 Multiple sports camps 22270 F 2,762.50
Total 2,762.50
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
2,762.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT 'Board Members
Dept
1046 1670919724 43408 2,762.50 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
30 -Jul 2009
Signature
2,762.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund