240025 12/09/14 i°r,c!IHM
CITY OF CARMEL, INDIANA VENDOR: 362438
® �, ONE CIVIC SQUARE ROB JENKINS CHECK AMOUNT: $*******420.00*
/0 4702 ARABIAN RUN CHECK NUMBER: 240025
:q �? CARMEL, INDIANA 46032
M�I'roN i�, INDIANAPOLIS IN 46228 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 9/19-10/24 420.00 ADULT CONTRACTORS
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Invoice for Social Ballroom Dance Class at Monon Center Fall 2014
1. Sept. 19th
2. Sept. 26th =BY:
3. Oct. 3rd
4. Oct. 10th
5. Oct. 17th
6. Oct. 24th
Purchase
6 classes at $70/class Description &&4 ),,k-,,S
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Total Due-$420 P.O.# 36&5 P o
G.L.#__ io5� so v3vos6o
_ Budget - - ------
-Robert Jenkins Line Descr 6on4,1.r A. Me.,
4702 Arabian Run Purchaser
Date 1�Z2 vl y
Indianapolis, IN 46228 Approval Date tt F7,,g I
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.
362438 Jenkins, Robert Terms
4702 Arabian Run
Indianapolis, In 46228
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/24/14 9/19- 10/24/14 Dance classes 9/19- 10/24/14 37834 $ 420.00
Total $ 420.00
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.
362438 Jenkins, Robert Allowed 20
4702 Arabian Run
Indianapolis, In 46228
In Sum of$
$ 420.00
1'
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept# I
1096-50 9/19-10/24/14 4340800 $ 420.00 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
(i which charge is made were ordered and
1. received except
I
I
3=Dec 2014
Signature
$ 420.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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