178401 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363426 Page 1 of 1
s ONE CIVIC SQUARE TIM STEPHENS CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 1415 KILLIAN DR
y o Via BEECH GROVE IN 46107 CHECK NUMBER: 178401
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMOUNT DESCRIPTION
1047 4239039 9/26 USATT 75.00 GENERAL PROGRAM SUPPL
4
a
Carmel ®Clay
r Parks &Recreation CHECK REQUEST
Date: 7 Z 0 9
Check payable to OCT 1 2009
Name- �i� S er k e`- S 46d ye
Address: L (I -5 V I f
City, State, Zip E'G p y e to O
check to payee Return check to requestor
Check Amount S• c0 Date Required A /z/ 9
Check needed for (°L 7° n I S �O J ti na-jAA e v
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PO Z Z(-(2
Budget account GL T TW 5 26.
Budget Line Description A1u(� �ro r
Requested by (print): LeL ec
Requested by (signature):
Approved by (signature of Division Manager): `t'1�1�tll� "1 3Q /0
on this date
Form revised 1 -21 -08
Mononkenter
ATCENTRALPARK
Wednesday, September 30, 2009 lil, OC i I
0 1 2009
MEMO
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 1 place Ken Li $75.00
2 nd place Xiaofeng Guo $50.00 2 place Xiaofeng Guo $40.00
3 place Ken Li $25.00 3 place Kevin Mi $20.00
Divison E:
1�c_ pla T I m� Ste.uens $;75 04
2 nd place Craig Simon $40.00
3 place Flax Hite $15.00
USATT Official- Al Grambo $150.00
USATT Fees- $509.00
1235 Central Park Drive East Carmel, Indiana 46032 P 317.848.7275 I F 317.573.5254 I 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.
Stephens, Tim Terms
1415 Killian Dr
Beech Grove, IN 46107
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 75.00
Total 75.00
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.
Stephens, Tim Allowed 20
10 1415 Killian Dr
Beech Grove, IN 46107
In Sum of
fy
75.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9/26 USATT 4239039 75.00 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
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund