HomeMy WebLinkAbout212152 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY PARKS-MONON CENTER
1 a CARMEL, INDIANA 46032 CIO AUDREY KOSTRZEWA CHECK AMOUNT: $795.88
CHECK NUMBER: 212152
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 2012-167 401 . 69 WELLNESS PROGRAM
1201 4341980 3012-175 394 . 19 WELLNESS PROGRAM
Carmel ® Clay Invoice
Parks&Recreation Date Invoice#
1411 E 116th Street
Carmel, IN 46032 7/27/2012 2012-167
Bill To 'u
City of Carmel
One Civic Square
Carmel, IN 46032
Due Date
8/27/2012
Quantity Description Rate Amount
For July 27 Pay Day
Monon Community Center Passes
48 Adult Pass (City of Carmel) 12.93 620.64
7 Youth or Senior Pass (City of Carmel) 8.50 59.50
38 Household Pass (City of Carmel) 35.08 1,333.04
-50--)
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D
AUG 2 7 2012
By
Remit to:
Carmel Clay Parks &Recreation Total Due $2,013.18
1411 E.1161h St.
Cacmeh IN 46032
Payment due 30 days invoice with payment.
Please return a copy o
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1 #
Carmel e Clay Invoice
Parks&Recreation Date Invoice#
1411 E 116th Street
Carmel, IN 46032 8/24/2012 2012-175
Bill To 011 '
City of Carmel
One Civic Square
Carmel, IN 46032
Due Date
9/24/2012
Quantity Description Rate Amount
For August 24 Pay Day
Monon Community Center Passes
48 Adult Pass (City of Carmel) 12.93 620.64
6 Youth or Senior Pass (City of Carmel) 8.50 51.00
37 Household Pass (City of Carmel) 35.08 1,297.96
D Q a
AUG 2 7 2012
By
Remit to:
Carmel Clay Parks& Recreation Total Due
1411 E. 116th St. $1,969.60
Carmel,IN 46032
Questions?317-573-4025 Payment due 30 days from invoice date.
corppass @carmelclayparks.com Please return a copy of invoice with payment.
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Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by k
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount p
Date Number (or note attached invoice(s)or bill(s))
07/27/12 2012-167 $401.69
08/24/12 2012-175 $394.19
; s
)
I 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.
ALLOWED 20
Carmel Clay Parks and Recreation - Monon Ce
c/o Audrey Kostrzewa IN SUM OF $
1411 E. 116th St.
Carmel, IN 46032
$795.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
uU g, PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
8 ' 2012-167 43-419.80 $401.69
bill(s) is (are)true and correct and that the
8 2012-175 43-419.80 $394.19
materials or services itemized thereon for
I� which charge is made were ordered and
received except
Monday, August 27, 2012
�—vim---
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund