222502 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 365509 Page 1 of 1
y ONE CIVIC SQUARE MOOS I INC CHECK AMOUNT: $341.75
s' CARMEL, INDIANA 46032 13621 THISTLEWOOD DRIVE EAST
CARMEL IN 46032 CHECK NUMBER: 222502
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 14 107 . 75 ADULT CONTRACTORS
1096 4340800 15 234 . 00 ADULT CONTRACTORS
Moos I, Inc Invoice
Moos I, Inc. Date Invoice#
13621 Thistlewood Drive East
Carmel, IN 46032 6/25/2013 14
Bill To
Carmel/Clay Parks and Recreation Depart
Michael W Klitzing
1235 Central Park Drive East
Carmel, IN 46032 JUL 8 2013
P.O. No. Terms Project
136106-03 Net 30
Quantity Description U/M Rate Amount
I Dylan Gould Session 39.00 39.00
1 Liam Sajbel Session 39.00 39.00
1 Jacob Schiffer Session 29.75 29.75
Desctription ®(
P.O. #_ o P o F
G.L.
Budget ®�
Line Descr
Purchaser Date /3
Approval Date
Level Swing Training
Total $107.75
Moos I,Inc Invoice
Moos I, Inc. Date Invoice#
13621 Thistlewood Drive East
Carmel, IN 46032 6/27/2013 15
Bill To
Carmel/Clay Parks and Recreation Depart
Michael W Klitzing 'F
1235 Central Park Drive East
Carmel. IN 46032 JL - 8 2013
P.O. No. Terms Project
136106-04 Net 30
Quantity Description U/M Rate Amount
i Jahnu Hutte Session 39.00 39.00
1 Brendan Melby Session 39.00 39.00
1 Joshua Melby Session 39.00 39.00
1 Kellen Patterson Session 39.00 39.00
1 Campbell Stewart Session 39.00 39.00
1 Max Stewart Session 39.00 39.00
Purchas�v el 5 w t-n of � �1 I
Description ®J I AQOi UL
P.O. # P o F
G.L. # NO)OO
Budget ll1
Line Descr 60 �
urchaser Date 3
Approval Date 43
It's been a pleasure working with you!
Total $234.00
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.
365509 Moos I, Inc. Terms
13621 Thistlewood Drive East
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
6/25/13 14 Youth program sessions 30021 $ 107.75
6/27/13 15 Youth program sessions 30021 $ 234.00
Total $ 341.75
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.
365509 Moos I, Inc. Allowed 20
13621 Thistlewood Drive East
Carmel, IN 46032
In Sum of$
$ 341.75
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1096-42 14 4340800 $ 107.75 1 hereby certify that the attached invoice(s), or
1096-42 15 4340800 $ 234.00 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
25-Jul 2013
Signature
$ 341.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund