221015 06/18/2013 ±., CITY OF CARMEL, INDIANA VENDOR: 367105 Page 1 of 1
4 � ONE CIVIC SQUARE THE DISC GOLF COMPANY LLC CHECK AMOUNT: $2,714.00
i`®tea CARMEL, INDIANA 46032 11138 MEADOWS DRIVE
a o� FISHERS IN 46038 CHECK NUMBER: 221015
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
106 5023990 29633 130527 1, 357 . 00 DISC GOLF PROJECT-HAZ
106 5023990 29633 130603 1, 357 . 00 DISC GOLF PROJECT-HAZ
00��
INVOICE
Invoice # 130527
disc-golf @hotmail.com Invoice date 05/27/13
11138 Meadows Dr.
Fishers, IN. 46038 RECEIVED
Ph: 317-523-0653
M.A.Y 2 ? 2013
�3v
Construction Supervision Contract Fee for hazel Landing Park disc golf course,week of 5-20-
13. Carmel-Clay Parks & Rec. Purchase Order#29633.
Quantity Item/Description Uriit Price Net
1 Partial Pymt for Fee (1/7th). $1,357.00 $1,357.00
• Supervision of-work'crew
Subtotal $1,357.00
Tax 0
TOTAL $1,357.00
Purchase VkP►Z.EL
Description 1D15(-' GpI-G P Ra)
P.U.#_a g Or F C.T
G.L.# -- 50239g,._)
Budget
Line Descr_la,��l
Purchaser Date
Approval Date
JUN 0 3 2013
JO
INVOICE
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S
OP- c rnn
Company Invoice # 130603
disc.golf P hotmai1.corn Invoice date 06/03/13
11138 Meadows Dr.
Fishers, IN. 46038
Ph: 317-523-0653
Construction Supervision Contract Fee for Hazel Landing Park disc golf course,week of 5-27-
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
o Supervision of work crew, installation of sleeves, posts'., some
tee-pads.
Subtotal $1,357.00
Tax 0
TOTAL $1,357.00
�® a❑® x❑❑ a❑®❑ El 71:a 0,61D,6D
Purchase ,1
Description
P.O.#- rFr.
c.L.#_—LCD — 500??5990
B.1dget
Line Desc
Purchaser Date
Approval Date
o-
a
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
5/27/13 130527 Disc golf project Hazel Landing 29633 $ 1,357.00
6/3/13 130603 Disc golf project Hazel Landing 29633 $ 1,357.00
Total $ 2,714.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Warrant No.
Allowed 20
-)If Company, The
eadowsa Dr.
46038 In Sum of$
w 14.00
ON ACCOUNT OF APPROPRIATION FOR
106 Park Impact Fee Fund
Po#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
' 29633 130527 5023990 $ 1,357.00 1 hereby certify that the attached invoice(s), or
29633 130603 5023990 $ 1,357.00 bill(s) is(are)true and correct and that the
x; materials or services itemized thereon for
5 <" which charge is made were ordered and
received except
13-Jun 2013
QCNWnMVU
Signature
$ 2,714.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund