208498 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 363439 Page 1 of 1
ONE CIVIC SQUARE U S A TABLE TENNIS
I' CHECK AMOUNT: $481.25
CARMEL, INDIANA 46032 e
CHECK NUMBER: 208498
HECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER OIQTbAM UNT SCRIPTION
1096 4239039 13175 481.25 GENERAL PROGRAM SUPPL
USA Table Tennis Invoice
1 Olympic Plaza Date Invoice
Colorado Springs, CO 80909
(719) 866 -3284 4/3/2012 13175
Bill To
Carmel Clay Parks Recreation
1235 Central Drive East
Carmel, IN 46032 A PR I
P.O. No. Terms Project
Due upon Receipt
Quantity Description Rate Amount
Tournament Report Processing Fees for the MCC Spring Open 2012
held on March 31, 2012
5 Adult 1 Year Membership Fee 49.00 245.00
Club Membership Discount (15 -36.75 -36.75
39 Tournament Processing Fee 7.00 273.00
Purchase
Description
P.O. o(f)
G.L.# loCit, Z3�j0
Budget
Line Descr
Purchaser Date
A pproval Date IL
Your prompt payment is appreciated.
Tota $481.25
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.
363439 USA Table Tennis Terms
1 Olympic Plaza
Colorado Springs, CO 80909 -5769
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/3/12 13175 Tournament fees 30628 481.25
Total 481.25
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.
363439 USA Table Tennis Allowed 20
1 Olympic Plaza
Colorado Springs, CO 80909 -5769
I n Sum of
1
481.25
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 13175 4239039 481.25 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
i
19 -Apr 2012
Signature
481.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund