220379 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 363439 Page 1 of 1
ONE CIVIC SQUARE U S A TABLE TENNIS CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 4065 SINTON RD,SUITE 120
COLORADO SPRINGS CO 80907 CHECK NUMBER: 220379
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 5/3/13 300 . 00 GENERAL PROGRAM SUPPL
C P T'vEr)
MAY 0 7 2013
USA BI':
TABLE TENNIS
Purchase
Description icir��/n��� Scntho� j�eS
Invoice PA.# 2� ��� _ Polfj
G.L# 16%. -5 G 4Z 6 307
Budget
Purchaser Oats `4
Approv Date /3
Date: 5/3/13
To: Carmel Clay Parks & Recreation
Matt Leber
1235 Central Park Dr. East
Carmel, IN 46032
Amount
Item Description
Sanction fee for MCC Summer Open $150
Sanction fee for MCC Fall Open 150
Due Upon Receipt Total $300
Prepared by: Andy Horn Date: 5/3/2013
Payment due within 30 days
Checks may be mailed to:
USA Table Tennis
4065 Sinton Rd. Suite 120
Colorado Springs, CO 80907
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.
363439 U S A Table Tennis Terms
4065 Sinton Rd., Suite 120
Colorado Springs, CO 80907
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/3/13 5/3/13 Summer/Fall Open 29709 $ 300.00
Total $ 300.00
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.
363439 U S_A Table Tennis Allowed 20
4065 Sinton Rd., Suite 1:20
Colorado Spri"rigs, CO 80907
In Sum of$
$ 300.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 5/3/13 4239039 $ 300.00 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
i
16-May 2013
T
j
Signature
$ 300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund