227133 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 363439 Page 1 of 1
ONE CIVIC SQUARE U S A TABLE TENNIS
CHECK AMOUNT: $474.75
CARMEL, INDIANA 46032 4065 SINTON RD,SUITE 120
COLORADO SPRINGS CO 80907 CHECK NUMBER: 227133
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 11/26 474 . 75 GENERAL PROGRAM SUPPL
DEC 0 3 20113
- -& USA
TABLE TENNIS
Purchase
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Budget
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Purchaser Date Z 3
Approval Date
Date: 11126/2013
To: Carmel Clay Parks & Recreation
Matt Leber
1235 Central Park Dr. East
Carmel, IN 46032
Amount
Item Description
MCC Fall Open-2013 Membershi s $208.25_
MCC Fall Open 2013. Ratin .fees $266.00
Due Upon Receipt Total $474.75
Prepared by: Andy Horn Date: 11/26/2013
Payment due within 30 days
Checks may be mailed to:
USA Table Tennis
4065 Sinton Rd. Suite 120
Colorado Springs, CO 80907
If paying by Credit Card, please call Andy Horn at 719-866-4583 ext: 4
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.
363439 U S A Table Tennis Terms
4065 Sinton Rd., Suite 120
Colorado Springs, CO 80907
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/26113 11/26 Table Tennis tournament fee 36414 $ 474.75
Total—I $ 474.75
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.
363439 U S A Table Tennis Allowed 20
4065 Swinton Rd , Sulte 120 � E
Colorado=Springs CO 907
80 In Sum of$
$ 474.75
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-50 11/26 4239039 $ 474.75 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
Aw�
Signature
$ 474.75 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund