209811 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365509 Page 1 of 1
ONE CIVIC SQUARE MOOS I INC
CARMEL, INDIANA 46032 13621 THISTLEWOOD DRIVE EAST CHECK AMOUNT: $252.00
CARMEL IN 46032 CHECK NUMBER: 209811
ON GO
CHECK DATE: 6/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 8 144.00 ADULT CONTRACTORS
1096 4340800 9 108.00 ADULT CONTRACTORS
Moos I, Inc I nv oi ce
Moos I, Inc.
13621 Thistlewood Drive East Date Invoice
Carmel, IN 46032 5/26/2012 .8
Bill To�
Carmel/Clay Parks and Recreation Depart o 212
Michael W Klitzing 1235 Central Park Drive East
Carmel, IN 46032 Y:
P.O. No. Terms Project
Net 30
Quantity Description U/M Rate Amount
4 Nicholas Erdosy 126110 -01 Session 9.00 36.00
4 Andrew Slaughter 126110 -01 Session 9.00 36.00
4 Jacob Stele 126110 -01 Session 9.00 36.00
4 Samuel Shockley 126110 -01 Session 9.00 36.00
Purchase
Description
P.O. P o F
G.L. Oa o
Budget g
Line Des cr L'T✓l Loo catl fi zt( k r
Purchas
Approval 7
It`s been a pleasure working with you!
Tota $144.00
Moos 1, Inc Invoice
Moos I, Inc.
13621 Thistlewood Drive East Date Invoice
Carmel, IN 46032 5/26/2012. 9
Bill To
Carmel/Clay Parks and Recreation Depart I JUN O'
Michael W Klitzing
1235 Central Park Drive East
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description U/M Rate Amount
4 Julia Click 126110 -02 Session 9.00 36.00
4 Ryan Roetgerman 126110 -02 Session 9.00 36.00
4 Anthony Stevens 126110 -02 Session 9.00 36.00
Purchase nl
Description 1 1om i 1
P.O. P f
Budget
Line DesCr t%
Purchasef!
Approv Date
Its been a pleasure working with you!
Total* $109.00
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.
365509 Moos I, Inc. Terms
13621 Thistlewood Drive East
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/26/12 8 Level swing baseball 30898 144.00
5126112 9 Level swing baseball 30898 108.00
Total 252.00
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.
365509 Moos I, Inc. Allowed 20
13621 Thistlewood Drive East
Carmel, IN 46032
In Sum of
252.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1096 -42 8 4340800 144.00 1 hereby certify that the attached invoice(s), or
1096 -42 9 4340800 108.00 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
14 -Jun 2012
Signature
25100 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund