214822 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 356663 Page 1 of 1
ONE CIVIC SQUARE SKYHAWKS SPORTS ACADEMY INC
CARMEL, INDIANA 46032 6311 E MT SPOKANE PARK DR SUITE B CHECK AMOUNT: $2,660.00
MEAD WA 99021 CHECK NUMBER: 214822
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 2542230434 1, 540 . 00 ADULT CONTRACTORS
1096 4340800 2543230423 1, 120 . 00 ADULT CONTRACTORS
Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B
Mead,WA 99021
awks,
Carmel Clay P&R-Youth Recreation
1411 E 116th St (800) 804-3509
Carmel, IN 46032
Invoice Date: 30 Oct 2012 Summary
Invoice Number: 2542230434
Print Date 10/30/2012
Org ID#: 2542
/C Fees
Collected by 'Org Tuition Owed Amount
Event-Course Number-Activity Date Org Commission To SSA
Monon Center-Gym B-226111-01 end of summer 09 Oct-30 Oct 2012 $1,170.00 $345.00 $825.00
Monon Center-Gym B-226112-01 end of summer 11 Oct-01 Nov 2012 $1,014.00 $299.0.0 $715.00
�j @�74�; Balance Owed to Skyhawks: $1,540.00
Details on attached page(s).
Please Cut and Return this bottom portion with payment(If applicable)
Invoice: 2542230434 Date:30 Oct 2012
Please include all monies donated to the Campership Fund. Date Due:Nov 29 2012
From:
Carmel Clay P&R-Youth Recreation
1411 E 116th St
Carmel, IN 46032
Please Send Payment to:
Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B
Mead, WA 99021 TOTAL AMOUNT DUE: $1,540.00
1%per month interest charge will be imposed on all Invoices over 30 days.
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Org Tuition Commission Details
Region>Area>SubArea: A'lidwest>Indiana(Central)>Indianapolis
Monon Center-Gym B-Volleyball 09 Oct-30 Oct 2012 5:20PM-6:50PM Ages: 7-12
Course Number-Note: 2261 1 1-01 end of summer billing-email invoice to Lindsay
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 15.00 $11170.00 $23.00 $345.00
Event Commission Amount: $345.00 $825.00
Monon Center-Gym B-Basketball 11 Oct-01 Nov 2012 5:20PM-6:50PM Ages:7-12
Course Number-Note: 226112-01 end of summer billing-email invoice to Lindsay
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 13.00 $1,014.00 $23.00 $299.00 Ois co„f,n»ed 13. 10/23/12
Event Commission Amount: $299.00 $715.00
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Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B
Mead, WA 99021 — — FED
OCT 312012
v
wks,
Carmel Clay P&R- Pre-School Recreation
1411 E 116th St (800) 804-3509
Carmel, IN 46032
Invoice Date: 30 Oct 2012 Summary
Invoice Number: 2543230423
Print Date 10/30/2012
Org ID#: 2543
Fees
Collected by 'Org Tuition Owed Amount
Event-Course Number-Activity Date Org Commission To SSA
Monon Center-Gym B-225203-01 -Baseball 09 Oct-30 Oct 2012 $800.00 $240.00 $560.00
Monon Center-Gym B-225204-01 -Basketball 11 Oct-01 Nov 2012 $800.00 $240.00 $560.00
Balance Owed to Skyhawks: $1,120.00
Details on attached page(s).
Please Cut and Return this bottom portion with payment(If applicable)
X........................................................................................................................................
Invoice: 2543230423 Date:30 Oct 2012
Please include all monies donated to the Campership Fund. Date Due:Nov 29 2012
From:
Carmel Clay P&R- Pre-School Recreation
1411 E 116th St
Carmel, IN 46032
Please Send Payment to:
Skyhawks Sports Academy, Inc
6311 E. Mt Spokane Park Drive, Suite B
Mead, WA 99021 TOTAL AMOUNT DUE: $1,120.00
1%per month interest charge will be imposed on all Invoices over 30 days.
Purchase '•'
Description aW
P.O.#.-MG _Po F
G.L. lOgb" ��'" 3gdg00.
Budget
Line Descr e
Purchase Date (}
Approv Date
Org Tuition Commission Details
Region>Area>SubArea: 11idwest>Indiana(Central)?Indianapolis
Monon Center-Gym B-Baseball 09 Oct-30 Oct 2012 4:OOPM-5:OOPM Ages: 3-5
Course Number-Note: 225203-01
Taken By Name Count Collected Comm Amt To Org Amt To SSA Billing Item Note
Organization Paid Participants 16.00 $800.00 $15.00 $240.00
Event Commission Amount: $240.00 $560.00
Monon Center-Gym B-Basketball 11 Oct-01 Nov 2012 4:OOPM-5:OOPM Ages: 3-5
Course Number-Note: 225204-01
Taken By Name Count Collected Comm Amt To Ora Amt To SSA Billing Item Note
Organization Paid Participants 16.00 $800.00 $15.00 $240.00
Event Commission Amount: $240.00 $560.00
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.
356663 Skyhawks Sports Academy, Inc
Terms
6311 E Mt Spokane Park Dr., Suite B
Date Due
Mead, WA 99021
Invoice Invoice Description Amount
Number (or note attached invoice(s) or bill(s)) PO#
Date 1,540.00
29131 $
10/30/12 2542230434 Youth pro rams 29132 $ 1,120.00
10/30/12 2543230423 Preschool programs
*Total 2,660.00
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
i
Voucher No. Warrant No.
356663 Skyhawks Sports Academy, Inc Allowed 20
6311 E Mt Spokane Park Dr., Suite B
Mead, WA 99021
In Sum of$
$ 2,660.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 2542230434 4340800 $ 1,540.00 1 hereby certify that the attached invoice(s), or
1096-32 2543230423 4340800 $ 1,120.00 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
15-Nov 2012
4X'A�li!lZG
Signature
$ 2,660.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund