221571 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 357100 Page 1 of 1
ONE CIVIC SQUARE INDY PARKS CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 6057 DELONG ROAD
INDIANAPOLIS IN 46254 CHECK NUMBER: 221571
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/19 50 . 00 ADULT CONTRACTORS
Indy Parks F
Environmental Education Outreach Program :.=° . ' •'
6057 DeLong Rd Purchase
Indianapolis, M 46254 Description
Phone: 3l7-327-6769 P.O.# F U,`�3�1� 1 Po F
Fax:, 317-327-0235 G.L.gar �� — ' L C�
6 e
Line Descr U
michele.conyer @indy.gov Purchaser
Approval_
Recipient of Outreach Program: �---
Carmel Clay Parks Department
1235 Central Park Dr E
Carmel, IN 46032
DTI i
Contact Name and Phone Number
SUN 4 4 2013
mstorms @carmelclayparks.com
Date Description of Program Location Number of Groups/Students
June 21 st Animals on the Loose Clay Middle 4 Groups 50.00
School
July 19th Insects Clay Middle 4 Groups 50.OD
School
Aug 2nd Discovery Something New (Outside) Clay Middle 4 Groups 50,00
School
Make Checks Payable to: Mail To: Total due $150 .00
Indy Parks Indy Parks EE Outreach
PAV n Oo
6057 DeLong Rd
dianapolisIN,46254
Employee signature: Date:
Carmel Clay
Parks&Recreation CHECK REQUEST
JUN 04 2013
Check payable to: I/
Name:
Address: �o_Fj�� Oa jMo.
City, State, Zip cl 62-0
Mail check to payee X Return check to requestor
Check Amount: $ Date Required: -5(IY
Check needed for k&AA �
To be paid from: l
PO#(if applicable) �o uo
Budget account - GL# (0122—t ( 3 Q Q
Budget Line Description VOj or
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): I Y I (fin s
Requested by (signature): VV�Ooz�2=
Approved by (signature of Division'anager):
on this date
Form revised 1-21-08
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.
Terms
357100 Indy Parks
Indy Parks EE Outreach
6057 DeLong Rd
Indianapolis, IN 46254
Invoice Invoice Description PO# Amount
Date Number (or note attached invoice(s) or bill(s))
$ 50.00
7/19/13 7/19 Insects program 7/19/13
Total+$ 50.00
I 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.
357100 Indy Parks Allowed 20
Indy Parks EE Outreach
6057 DeLong Rd
Indianapolis, IN 46254 In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-11 7/19 4340800 $ 50.00 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
20-Jun 2013
/JiM&NUL
Signature
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund