HomeMy WebLinkAbout228161 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 367875 Page 1 of 1
ONE CIVIC SQUARE ULTIMATE AFTER-SCHOOL CLUBS
CHECK AMOUNT: $1,200.00
CARMEL, INDIANA 46032 11419 PEGASUS DR
NOBLESVILLEIN 46060
CHECK NUMBER: 228161
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 12 1, 200 . 00 ADULT CONTRACTORS
C�
Ultimate After-School Clubs 1 De
Uafterschool@aol.com
Invoice #:
12
Customer Details: DEC 16 2013
Carmel Clay Parks and Recreation
ATTN: Ben Johnson / bjohnson@carmelclayparks.com
1411 E 116th St, Carmel, IN 46032
(317) 843-3875 / (317) 573-5240
Order Details:
Club Requested: Ultimate Chess Club
Price Per Class: $75
Total # of Classes : 16
Mondays — 10/28, 11/4, 11/11, 11/18, 11/25
Tuesdays — 10/22, 10/29, 11/5, 11/12, 11/19, 11/26
Thursdays — 10/24, 10/31, 11/7, 11/14, 11/21
Total: $1200
Payment Details:
Ultimate After-School Clubs
11419 Pegasus Dr.
Noblesville, IN, 46060
317-308-1553
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.
Ultimate After-School Clubs Terms
11419 Pegasus Dr
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/16/13 12 Enrichment classes 10/22 - 11/26/13 36316 $ 1,200.00
Total $ 1,200.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No,
Ultimate After-School Clubs Allowed 20
11419 Pegasus Dr
Noblesville, IN 46060
In Sum of$
$ 1,200.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-99 12 4340800 $ 1,200.00 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
9-Jan 2014
Signature
$ 1,200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund