214133 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366399 Page 1 of 1
ONE CIVIC SQUARE YOUTH TECH INC CHECK AMOUNT: $650.00
CARMEL, INDIANA 46032 16548 S LAWSON
OLATHE KS 66062 CHECK NUMBER: 214133
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 3128 650 . 00 ADULT CONTRACTORS
Youth Tech Inc.
Youth Tech Inc. Invoice
16548 S. Lawson
Olathe, KS 66062 Date Invoice#
(913)940-3155 10/09/2012 3128
kevin @youthtechinc.com Terms Due Date
Due on receipt 10/09/2012
Bill To FRY; 1 � 2012 I
Carmel Clay Parks&Recreation '
1235 Central Park Drive East
Cannel,IN 46032
Amount Due Enclosed
$650.00
Please detach top portion and return with your payment.
Date Activity Quantity Rate Amount
10/06/2012 Game Design 5 130.00 650.00
Purchase `'0L4 _ n Q'r,
Description `� L-V` Ct
P.O. GO O orO
G.L # 109 -��- Y� yo�oo
Budget .JJ CeG4dY'
Line Descx ��"�
Purchaser ! Q Mate B Q//..
Approval Date__.
Total $650.00
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.
366399 Youth Tech Inc. Terms
16548 S. Lawson
Olathe, KS 66062
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/9/12 3128 Youth programs 29067 $ 650.00
Total $ 650.00
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.
366399 Youth Tech Inc. Allowed 20
16548 S. Lawson
Olathe, KS 66062
In Sum of$
$ 650.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
r
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 3128 4340800 $ 650.00 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
18-Oct 2012
Signature
$ 650.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund