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HomeMy WebLinkAbout207786 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 365559 Page 1 of 1 ONE CIVIC SQUARE ROBERT D CLYDE CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 5813 SAINT SIMONS DRIVE INDIANAPOLIS IN 46237 CHECK NUMBER: 207786 CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 3/31 200.00 GENERAL PROGRAM SUPPL From: Robert D Clyde INVOICE Certified USATT Referee 5813 Saint Simons Dr DATE 31- Mar -12 Indianapolis, IN 46237 317- 791 -9704 TO: Monon Center Carmel Clay Parks Recreation 1235 Central Park Drive East Carnel IN 46032 Tel: 317- 848 -7275 QTY i I UNIT PRICE AMOUNT 1 USATT Certified Referee $200.00 $200.00 National Umpire Run Monon Center's March 31, 2012 Table Tennis Tournament TOTAL $200.00 Make Check payable to: Robert D Clyde 5813 Saint Simons Dr Indianapolis, IN 46237 Purchase 0 Qw A Description nn i c Ke �'e fee P.O. P ort#) APR 0 3 1012 G.L. Budget Line Descx r I Purchaser `f I Z Date 3. Approval Date 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. 365559 Clyde, Robert D Terms 5813 Saint Simons Dr Indianapolis, IN 46237 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/31/12 3/31 Certified USATT Referee 200.00 Total 200.00 I 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. 365559 Clyde, Robert D Allowed 20 5813 Saint Simons Dr Indianapolis, IN 46237 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1096 -50 3/31 4239039 200.00 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 5 -Apr 2012 ���2�72l�12f�y Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund