210979 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 358202 Page 1 of 1
ONE CIVIC SQUARE OFF THE WALL SPORTS CHECK AMOUNT: $975.00
?o CARMEL, INDIANA 46032 1423 CHASE COURT
CARMEL IN 46032 CHECK NUMBER: 210979
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 34 975 . 00 ADULT CONTRACTORS
Off The Wall Sports Carmel Invoice
1423 Chase Court
Carmel, IN 46032 oats Invoice#
617/2012 34
Sill To
Carmel Clay Parks and Recreation ��I VED
1235 Central Park Drive East IRE
Cannel,IN 4W JUN 2 7
Attu 2012 Crystal Allen t�
P.O. No, Terms Project
Spring 2012 due upon receipt
Quantity Description Rate Amount
13 "T O M I O R Cao trf 75.00 975.00
Purchase
Description Waif S 1'
P.O.# Pot
G.L.# f6 9go
Bud(Descr M - ram
Purchaser t I� a a
Approv Date
/Z
Total $975.00
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.
358202 Off The Wall Sports Terms
1423 Chase Court Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
617/12 34 Junior golf 30992 $ 975.00
Total $ 975.00
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.
358202 Off The Wall Sports Allowed 20
1423 Chase Court
Carmel, IN 46032
In Sum of$
$ 975.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. kCCT#ITITLI AMOUNT Board Members
Dept#
1096-42 34 4340800 $ 975.00 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
12-Jul 2012
P&M&//wj
Signature
$ 975.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund