HomeMy WebLinkAbout216053 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 363440 Page 1 of 1
ONE CIVIC SQUARE ALAN GRAMBO CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 5960 ALLISONWOOD COURT
s� INDIANAPOLIS IN 46250 CHECK NUMBER: 216053
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1102 REISSUE 200 . 00 REISSUE CK 215028
From: Alan A. Grambo INVOICE
Certified USATT Referee Invoice no: 1102
5960 Allisonwood. Ct- DATE 10-Nov-12
Indianapolis, IN 46250
Voice317-842-2680
TO: Monon Center
Carmel Clay Parks & Recreation
1235 Central Park Drive East
Carnel , IN 46032
Tel: 317-848-7275
QTY UNIT PRICE AMOUNT
1 USATT Certified Referee, Regional $200-00 $200.00
Ref& run Monon CC Fall Open 10 Nov $000
2012 Table Tenn isTournament $0.00
$0.00
$0.00
TOTAL $200.00
Make Check payable to:
Alan A. Grambo
5960 Allisonwood. Ct.
Indianapolis, IN 46250
R "C .It� �
NOV 16 2012
E"
Purchase I
Description c Q o0 a
G.L.a 10016!�6 423 226
Budget GS
Line Descr r"
Purchaser Date Z
Approval Data /
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.
363440 Grambo, Alan Terms
5960 Allisonwood Ct
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO # Amount
11/10/12 1102 Fall Open official $ 200.00
Total $ 200.00
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.
363440 Grambo, Alan Allowed 20
5960 Allisonwood Ct
Indianapolis, IN 46250
In Sum of$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1102 4239039 $ 200.00 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
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund