226987 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 363440 Page 1 of 1
ONE CIVIC SQUARE ALAN GRAMBO
CARMEL, INDIANA 46032 5960 ALLISONWOOD COURT CHECK AMOUNT: $200.00
r' INDIANAPOLIS IN 46250
CHECK NUMBER: 226987
CHECK DATE: 12111/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 1325 200 . 00 GENERAL PROGRAM SUPPL
From: Alan A. Grambo INVOICE
Certified USATT Referee Invoice no: 1325
5960 Allisonwood. Ct. DATE 9-Nov-13
Indianapolis, IN 46250
Voice317-842-2680
TO: Monon Center DEC 0 3 2013 i
Carmel Clay Parks & Recreation ,T f
1235 Central Park Drive East
Carnel , IN 46032
Tel: 317-848-7275
QTY UNIT PRICE AMOUNT
1 USATT Certified Referee, Regional $200.00 $200.00
- -- - Umpire &run Monon 9 Sept 13 $0.00
Table TennisTournament $0.00
$0.00
$0.00
TOTAL $200.00
Make Check payable to:
Alan A. Grambo
5960 Allisonwood. Ct.
Indianapolis, IN 46250
Purchase
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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.
363440 Grambo, Alan Terms
5960 Allisonwood Ct
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/9/13 1325 Table Tennis Official $ 200.00
Total $ 200.00
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
363440 Grambo, Alan Allowed 20
5960 Allisonwood Ct
Indianapolis, IN 46250
In Sum of$
$ 200.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 1325 4239039 $ 200.00 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
5-Dec 2013
Signature
$ 200.00 Accounts Payable Coordinator
Cost distribution ledger classification if f Title
claim paid motor vehicle highway fund