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220129 05/21/2013 a CITY OF CARMEL, INDIANA VENDOR: 367105 Page 1 of 1 { ' ONE CIVIC SQUARE THE DISC GOLF COMPANY LLC CARMEL, INDIANA 46032 11138 MEADOWS DRIVE CHECK AMOUNT: $1,357.00 FISHERS IN 46038 CHECK NUMBER: 220129 CHECK DATE: 5/2112013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 5023990 29633 130422 1, 357 . 00 DISC GOLF PROJECT-HAZ ey INVOICE Company Invoice # 130422 disc.golf(c@hotmail.com Invoice date 04/22/13 11138 Meadows Dr. Fishers, IN. 46038 _ Ph: 317-523-0653 L���- T : _� APR 2 9 2013 Construction Supervision Contract Fee for Hazel Landing Park disc golf course, week of 4-15- 13. Carmel-Clay Parks & Rec. Purchase Order#29633. Quantity Item/Description Unit Price Net 1 Partial Pymt for Fee (1/7th). $1,357.00 $1,357.00 Subtotal $1,357.00 Tax 0 TOTAL $1,357.00 i Disc GOW pvq)� Purchase wl / � ,�.d * Description [�/'! P.O.# oZ g(,p --(P)or F CT- G.L.# 106_5023" BudgAt Line Descr Purchaser Date Approval Date ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must ow, kind of service, ere performed, dates service rendered, by whom, rates per day, number of hours, rate per Payee Purchase Order No. Date Due Disc Golf Company, The 11138 Meadowsa Dr. Fishers, IN 46038 Invoice Invoice Description PO# Amount Date Number (or note attached invoice(s) or bill(s)) 29633 $ 1,357.00 4/22/13 130422 Disc Golf project Hazel Landing Total $ 1,357.00 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 5-11-10-1.6 120— Clerk-Treasurer Voucher No. Warrant No. Allowed 20 Disc Golf Company, The 11138 Meadowsa Dr. Fishers, IN 46038 In Sum of$ $ 1,357.00 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee Fund PO#or INVOICE NO. kCCT#/TITLI AMOUNT Board Members Dept# 29633 130422 5023990 $ 1,357.00 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 16-May 2013 PjCM/)q//wu Signature $ 1,357.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund