226101 11/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366750 Page 1 of 1
ONE CIVIC SQUARE GYM41
CARMEL, INDIANA 46032 5315 W 86TH STREET CHECK AMOUNT: $1,170.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 226101
CHECK DATE: 11/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 10/8-10/24 1, 170 . 00 ADULT CONTRACTORS
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�NVOECE yy 1 �,g 2Q13 Date: October 25, 2013
j Gym41 TO: Carmel Clay Parks&
Recreation III
5315 W 861"Street Monon Community Center
Indianapolis, Indiana 46268 1235 Central Park Drive East
317-508-5625 Carmel, IN 46032
P 317.573.5247
Lindsay @gym4l.com F 317.573.5254
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SALESPERSON t JOB JOB t PAYMENT t
� { j TERMS � {
Tully Bevilaqua Basketball Clinic Due on Receipt
DATE DESCRIPTION UNIT PRICE QUANTITY TOTAL S �.
10/08/2013-10/24/2013 Youth Basketball Clinic $90.00 13 $1170.00
$1170.00
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Make all checks payable: Gym41
THANK YOU FOR YOUR BUSINESS!
Purchase n vvo IL-Ce -
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G.P.O. #
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Budget a�lv`-1 ~3goc"o
Line Descr Date 3
Purchaser Date 28 13
Approval ,
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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.
366750 Gym 41 Terms
5315 W 86th Street
Indianapolis, IN 46268
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO # Amount
10/25/13 10/8- 10/24/13 Youth basketball clinic 10/8- 10/24/13 36339 $ 1,170.00
Total $ 1,170.00
1 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.
366750 Gym 41 Allowed 20
5315 W 86th Street
Indianapolis, IN 46268
In Sum of$
$ 1,170.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITL AMOUNT
1096-42 10/8-10/24/12 4340800 $ 1,170,00 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
14-Nov 2013
Signature
$ 1,170.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund