220576 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 367105 Page 1 of 1
t ONE CIVIC SQUARE THE DISC GOLF COMPANY LLC
` CARMEL, INDIANA 46032 11138 MEADOWS DRIVE CHECK AMOUNT: $2,714.00
FISHERS IN 46038 CHECK NUMBER: 220576
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 5023990 29633 130513 1, 357 . 00 DISC GOLF PROJECT-HAZ
106 5023990 29633 130520 1, 357 . 00 DISC GOLF PROJECT-HAZ
INVOICE
Invoice # 130513
disc.golf(@hotmail.com Invoice date 05/13/13
11138 Meadows Dr.
Fishers, IN. 46038
Ph: 317-523-0653
Construction Supervision Contract Fee for Hazel Landing Park disc golf course, week of 5-643.
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
• Supervision of clearing crew
• Marking of vegetation for removal
Subtotal $1,357.00
Tax p
TOTAL $1,357.00
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Company
Invoice # 130520
disc.golf@hotmaiLcom R.EC9IV'E_D Invoice date 05/20/13
11138 Meadows Dr. MAY 2 Q 2013
Fishers, IN. 46038
Ph: 317-523-0653
Construction Supervision Contract Fee for Hazel Landing Park disc golf course, week of 5-13-
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
• Supervision of clearing crew
• Marking of vegetation for removal
Subtotal $1,357.00
Tax 0
TOTAL $1,357.00
I
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Purchase
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Purchaser Date
Approval pat,
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.
367105 Disc Golf Company, The Date Due
11138 Meadowsa Dr.
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
5/13/13 130513 Disc golf project Hazel Landing 29633 1,357.00
5/20/13 130520 Disc golf project Hazel Landing 29633 5 1.357.00
Total $ 2,714.00
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.
Allowed 20
367105 Disc Golf Company, The
11138 Meadowsa Dr.
Fishers, IN 46038 In Sum of$
$ 2,714.00
ON ACCOUNT OF APPROPRIATION FOR
106 Park Impact Fee Fund
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
29633 130513 5023990 $ 1,357.00 1 hereby certify that the attached invoice(s), or
29633 130520 5023990 $ 1,357.00 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
30-May 2013
�1 ol�mrv>�
Signature
$ 2,714.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund