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225341 10/23/2013 �,gtif CITY OF CARMEL, INDIANA VENDOR: 367105 Page 1 of 1 ONE CIVIC SQUARE THE DISC GOLF COMPANY LLC CARMEL, INDIANA 46032 11138 MEADOWS DRIVE CHECK AMOUNT: $300.00 FISHERS IN 46038 CHECK NUMBER: 225341 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 106 5023990 29633 131007 300 . 00 DISC GOLF PROJECT-HAZ INVOICE The DISC Gen'ff Gamilany Invoice # 131007 disc.golf @hotmaiLcom Invoice date 10/07/13 11138 Meadows Dr. Fishers, IN. 46038 Ph: 317-523-0653 ` OCT 00 2013 Construction Supervision Contract Fee for Hazel Landing Park disc golf course, Course Completion and Acceptance, Final Payment. Carmel-Clay Parks & Rec. Purchase Order# 29633. Quantity Item/Description Unit Price Net 1 Retainer/Completion Fee $300.00 $300.00 Subtotal $300.00 Tax 0 TOTAL $300.00 Hazel La�a�1v33_-�= c 106 - 5023gg0 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 10/7/13 131007 Hazel Landing disc golf project 29633 $ 300.00 Total $ 300.00 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. Allowed 20 367105 Disc Golf Company, The 11138 Meadowsa Dr. i Fishers, IN 46038 In Sum of$ $ 300.00 ON ACCOUNT OF APPROPRIATION FOR 106 Park Impact Fee Fund PO#or INVOICE NO. CCT#/TITLI AMOUNT Board Members Dept# 29633 F 131007 5023990 $ 300.00 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 17-Oct 2013 Signature $ 300.00 Accounts Payable Coordinator Cost distribution ledger classification if Title I claim paid motor vehicle highway fund