215081 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366297 Page 1 of 1
ONE CIVIC SQUARE JASON KLINK
` CARMEL, INDIANA 46032 3807 CONSTITUTION DRIVE CHECK AMOUNT: $350.00
+ ?' CARMEL IN 46032 CHECK NUMBER: 215081
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 11/9 350 . 00 ADULT CONTRACTORS
Jason Klink INVOICE
3807 Constitution Drive
Carmel, IN.46032
Phone 317.656.7352
Date sent: Nov. 9, 201
Date of Event: Dec. 28, 201
To: For:
Carmel Clay Parks and Recreation Mohawk Trails(10-12pm)
Smoky Row(1-3pm
Service Hrs Rate Total
DJ Services 4 75/hr 350.00
TOTAL $350.00
Make all checks payable to Jason Klink
Thank you for your business!
A 10%charge will be added if payment is not received within thirty days as well as for every extra thirty days payment is not received.
Purchase
Description_t%� 1\�CT� NOV 15 2012
P.O.# ;F-e) n cp go, P r F
G.L.# ��:_
Budget
Line Descr. �f
PurchaserCn7 Z`-
Approval — Date —��
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: November 9, 2012
Check payable to:
Name: Jason Klink l I
Address: or
City, State, Zip Vmicie-lfd-47 4 - (-1 j o s
Mail check to payee _x_Return check to requestor
Check Amount: $ 350 Date Required: December 4, 2012
Check needed for: Winter Break Week 1 School's Out Camp
(Smokey Row& Mohawk Trails)Contractor
To be paid from: nn U
PO#(if applicable)
Budget account-GL# 4340800
Budget Line Description Contractor
invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): Deneyse Solazzo
Requested by(signature):
Approved by(signature of Division Manager): _ N
r
on this date / (— % 2--,- / o),
Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/Check Request(rev 7-7-08)
t
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.
366297 Klink, Jason Terms
3807 Constitution Drive
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/9/12 11/9 DJ Services 12/28/12 MT, SR $ 350.00
Total $ 350.00
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.
366297 Klink, Jason Allowed 20
3802 Constitution Drive.
Carmel, IN .:46032. A
*correct address In Sum of$
$ 350.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 11/9 4340800 $ 350.00 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
$ 350.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund