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
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Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund