HomeMy WebLinkAbout225105 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367578 Page 1 of 1
ONE CIVIC SQUARE TJ INSIGHTS INC
s CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 1057 RESERVE WAY
INDIANAPOLIS IN 46220
CHECK NUMBER: 225105
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 10/22 200 . 00 EXTERNAL INSTRUCT FEE
INVOICE
TJ INSIGHTS, Inc.
1057 Reserve Way EBY: T'X7�D
Indianapolis, IN 46220 2013
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(a-)carmelclayparks.com
Consultant: Teresa L. Jump Ed.D.
Please pay TJ INSIGHTS, Inc. for the following consulting services:
Scope of Work:
Training: Team Building
Carmel Elementary: October 22nd 6:30-7:30 PM
Professional Fees: $200.00
Thank you for the opportunity to serve you and your team.
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: September 9, 2013
SAP 1 I
Check payable to: 1 2013
BY:
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 22, 2013
Check needed for: Team Building Training for CE, PT, SR,WB
To be paid from: 2
PO#(if applicable) o o o J
Budget account-GL# 4357004
Budget Line Description External Instructional Fee
Invoice(s)and Purchase Order(if required) MUST be attached.
Requested by(print): Cyn(di Canada
Requested by(signature): l ��-
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)
1
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.
367578 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
10/22/13 10/22 Team building training $ 50.00
10/22/13 10/22 Team building training $ 50.00
10/22/13 10/22 Team building training. $ 50.00
10/22/13 10/22 Team building training $ 50.00
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
367578 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 Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1081-1 10/22 4357004 $ 50.00 1 hereby certify that the attached invoice(s), or
1081-7 . 10/22 4357004 $ 50.00 bill(s) is (are)true and correct and that the
1081-8 10/22 4357004 $ 50.00 materials or services itemized thereon for
1081-11 10/22 4357004 $ 50.00 which charge is made were ordered and
received except
3-Oct 2013
W11�em'ljfa�
Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund