224311 09/23/2013 F CITY OF CARMEL, INDIANA VENDOR: 367578 Page 1 of 1
ONE CIVIC SQUARE TJ INSIGHTS INC
CARMEL, INDIANA 46032 1057 RESERVE WAY CHECK AMOUNT: $200.00
?y '?' INDIANAPOLIS IN 46220
CHECK NUMBER: 224311
CHECK DATE: 9/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 41548 200 . 00 EXTERNAL INSTRUCT FEE
iC�si-2,-:�,(c) -�35� ova
F C)CC) 3�a-
INVOICE
TJ INSIGHTS, Inc.
EE
1057 Reserve Way Indianapolis, IN 46220 Phone-317-727-7890
EIN#-27 2538444
SERVICES FOR: Carmel Clay Parks (afterschool programs)
Contact Person: Cyndi Canada, Site Supervisor
Carmel Clay Parks & Recreation/Extended School Enrichment
Mohawk Trails Elementary
4242 E. 126th St. Carmel, IN 46033
P 317.418.8475 ccanada(&carmelclayparks.com
Consultant: Teresa L. Jump Ed.D.
Please pay TJ INSIGHTS, Inc. for the following consulting services:
Scope of Work:
Training: Team Building
Mohawk Trails on October 1, 2013 6:30-7:30 PM
Professional Fees: $200.00
**************
Thank you for the opportunity to serve you and your team.
Carmel ® Clay
Parks&Recreatidh CHECK REQUEST
Date: September 9, 2013 C'F,,X�;l �
SEP 1 1 2013
Check payable to; $Y:
Name: TJ Insights Inc
Address: 1057 Reserve Way
City, State,Zip Indianapolis, IN 46220
Mail check to payee x Return check to requestor
Check Amount..$200 Date Required: October 1.2013
Check needed for: Team Building Training for MT,CT,OP
To be paid frorm'
PO#(if applicable) O y d—
Budget account-GL# 4357004
Budget Line Description External Instructional Fee
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): Cyndi Canada
Requested b (signature): r
q y
Approved by(signature of Division Manager):
on this date
Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/Check Request(rev 7-7-08)
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.
T J Insights, Inc. Terms
1057 Reserve Way
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
9/11/13 41548 Team building $ 66.67
9/11/13 41548 Team building $ 66.67
9/11/13 41548 Team building $ 66.66
Total $ 200.00
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.
T J Insights, Inc. Allowed 20
1057 Reserve Way
Indianapolis, IN 46220
In Sum of$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#[TITLE AMOUNT Board Members
Dept#
1081-2 41548 4357004 $ 66.67 1 hereby certify that the attached invoice(s), or
—1081-5 41548 4357004 $ 66.67 bill(s) is (are)true and correct and that the
--1081-6 41548 4357004 $ 66.66 materials or services itemized thereon for
which charge is made were ordered and
received except
19-Sep 2013
Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund