211627 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365174 Page 1 of 1
ONE CIVIC SQUARE ARCHIMEDES PLAYGROUND LLC CHECK AMOUNT: $3,300.00
CARMEL, INDIANA 46032 WILLIAM THEODORE DESMARAIS JR
13747 MEADOW LAKE DRIVE CHECK NUMBER: 211627
FISHERS IN 46038
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 135 3 , 300 . 00 ADULT CONTRACTORS
Archimedes Plagound
I)ATI 1 U LY 31,201-2
IN\'()I(:I: # 135
F•-I It (It t I IN -1()l
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Carmel Clay-Parks &Recreation
Moiion Community Center
1235 Central Park Drive I--,'-,ist
Carmel, IN 46032
1:11-Ionc: 317.573.5247
PAYMENT TERMS DUE DATE
Duc on receipt
QTY DESCRIPTION UNIT PRICE LINE TOTAL
15 Robot Program Registration Otfl)7 9-13, 2012) $110.()0 $1,650.00
7 Robot Program Registration Oi-mc 4-8, 2012) $110.()0 $770.00
8 intermediate Robotics Program (julv 23-27, 2012) $11().00 5880.00
SUBTOTAL $3,300.00
SALES TAX Incl. In price
Purchase
TOTAL $3,300.00
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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.
365174 Archimedes Playground Terms
13747 Meadow Lake Dr
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
7/31/12 135 Robot program registration 31110 $ 3,300.00
Total $ 3,300.00
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.
365174 Archimedes Playground Allowed 20
13747 Meadow Lake Dr
Fishers, IN 46038
In Sum of$
$ 3,300.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 135 4340800 $ 3,300.00 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
9-Aug 2012
Signature
$ 3,300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund