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Home My WebLink About211489 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366398 Page 1 of 1 ONE CIVIC SQUARE TODD HOWARD BASKETBALL CAMP LLB CARMEL, INDIANA 46032 PO BOX 539 CHECK AMOUNT: $10,800.00 FISHERS IN 46038 <„ CHECK NUMBER: 211489 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 6/25-6/29/12 10, 800 . 00 ADULT CONTRACTORS To: Park Board Carmel Clay Parks&Recreation From: Todd C.Howard,Member C77 Todd Howard Basketball Camp LLC P.O.Box 539 Fishers,IN 46038 FEIN: 45-4594348 (317)201-4030 tchoward @iupui.edu Date: July 2,2012 RE: IUPUI Basketball Clinic--week of June 25-29,2012 Invoice for services rendered Pursuant to the Independent Contractor Services Agreement entered into between the Carmel Clay Board of Parks and Recreation and the Todd Howard Basketball Camp LLC,the LLC completed the IUPUI Basketball Clinic for the above referenced week at the Carmel Monon Community Center located at 1235 Central Park Drive East,Carmel,IN 46032. Number of campers in attendance 80 Negotiated contract rate to be paid per camper in attendance assuming: $0 paid at registration 2 $ Coach Howard's daughter and son $39 after refund 1 $ - $ - $39 retained by CCPR per camper $78 after refund 1 $ 39 $ 39 $39 retained by CCPR per camper $100 paid at registration 1 $ 61 5 61 $39 retained by CCPR per camper $125 paid at registration 5 $ 86 $ 430 $39 retained by CCPR per camper $145 paid at registration 13 $ 106 $ 1,378 $39 retained by CCPR per camper $195 paid at registration 57 $ 156 $ 8,892 $39 retained by CCPR per camper 80 Total amount due to the Todd Howard Basketball Camp LLC $10,800 Purchase Description � P of@ P.O.t Li 0$co G.L# I n g l �i 02 t-13 Budget '�, r �'pi10.t rS Line Descx P Date 7 urchas Date Appro 1 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. 366398 Todd Howard Basketball Camp LLC Terms P.O. Box 539 Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 7/2112 6/25-6/29/12 IUPUI Basketball clinic 31046 $ 10,800.00 Total—F$ 10,800.00 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. 366398 Todd Howard Basketball Camp LLC Allowed 20 P.O. Box 539 Fishers, IN 46038 In Sum of$ $ 10,800.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-42 6/25-6/29/12 4340800 $ 10,800.00 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 26-Jul 2012 Signature $ 10,800.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund