210962 07/17/2012 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: $288.00
CARMEL IN 46032 CHECK NUMBER: 210962
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 10 180 . 00 ADULT CONTRACTORS
1096 4340800 11 108 . 00 ADULT CONTRACTORS
.1
Moos I, Inc Invoice
Moos I,Inc. Date Invoice#
13621 Thistlewood Drive East
Carmel, IN 46032 6/24/2012 10
Bill To
Carmel/Clay Parks and Recreation Depart ��UL 0 2 2012
Michael W Klitzingu
1235 Central Park Drive Past
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Carmel,IN 46032
P.O. No. Terms Project
Net 30
Quantity Description U/M Rate Amount
4 Christopher Klinkose- 126100-03 Session 9.00 36.00
4 Coleson Price- 126110-03 Session 9.00 36.00
4 Grace Rogers 126110-03 Session 9.00 36.00
4 Jacob Steele- 126110-03 Session 9.00 36.00
4 Pulkit Tripathi- 126110-03 Session 9.00 36.00
Purchase
Description
P.O.# P otl€J
G.L# lQ to
Budaet �/
Unebescr. lf. u4il r�(0AM a �or
Yn
Purchaser 1 ate��
Approval Date
It's been a pleasure working with you!
Total $180.00
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Moos I, Inc Invoice
Moos 1, Inc. - —
Date Invoice#
13621 Thistlewood Drive East —
Carmel, IN 46032 y 612412012 11
Bill To
Carmel/Clay Parks and Recreation Depart � ��j��
Michael W Klitzing �,
1235 Central Park Drive East
Carmel,IN 46032 JUL 0 2 2012
P.O. No. Terms Project
Net 30
Quantity Description U/M Rate Amount
4 Alexander Burr- 126110-04 Session 9.00 36.00
4 Brady Hatfull- 126110-04 Session 9.00 36.00
4 Blair Sinchai. 126110-04 Session 9.00 36.00
Purchase Description_.._.
P.O.# P F
G.L# UUt �C
Budget v r
Une Descrl1 t (
purchase r�l IVY Date
Approv
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It's been a pleasure working with you!
Total :$10:800]
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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
6/24/12 10 Level swing baseball 30997 $ 180.00
6/24/12 11 Level swing baseball 30997 $ 108.00
Total $ 288.00
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$
$ 288.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1096-42 10 4340800 $ 180.00 1 hereby certify that the attached invoice(s),or
1096-42 11 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
12-Jul 2012
�Z
Signature
$ 288.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund