214985 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366122 Page 1 of 1
y.�0 ` ONE CIVIC SQUARE CHAUNCIE'S PLACE
? CARMEL, INDIANA 46032 4607 E 106TH STREET CHECK AMOUNT: $30.00
+,o� CARMEL IN 46033 CHECK NUMBER: 214985
CHECK DATE: 1 21412 01 2
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 122CM 30 . 00 EXTERNAL INSTRUCT FEE
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Chaucie's Place
Purchase ��
4607 East 106th Street Description II Invoice
Carmel, Indiana 46033 P.O.t 0 0 Ior F 019 f
Bud et X��f��-\ �1 � '� Invoice#: 122CM
Line L18W ' Invoice Date: 11/13/2012
Purchaser �v•,.��'•..) Oate ��3�/�..
Bill To: Ap = Date I i oTf 2 Due Date: 12/13/2012
J",!��
Jennifer Brown Project:
Nu
Assistant M anager P.O. mber:
Carmel Clay Parks& Recreation
1235 Central Park Drive East
Carmel, IN 46032
Date
Description
11/13/2012 2 additional participants- 11/2/12 SOC Amount
30.00
Thank you for your commitment to protecting our children!
Total $30.00
Payments/Credits $0.00
Balance Due $30.00
i
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.
366122 Chaucie's Place Terms
4607 East 106th Street
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/13/12 122CM Staff training 11/2/12 $ 30.00
Total $ 30.00
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
Voucher No. Warrant No.
366122 Chaucie's Place Allowed 20
4607 East 106th Street
Carmel, IN 46033
In Sum of$
$ 30.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 122CM 4357004 $ 30.00 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
29-Nov 2012
Signature
$ 30.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund