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313218 07/05/17
9"'� CITY OF CARMEL, INDIANA VENDOR: 357333 i ONE CIVIC SQUARE DANCE CLASS STUDIO CHECK AMOUNT: $ .....945.00' °; CARMEL, INDIANA 46032 10887 SEDGEMOOR CIRCLE CHECK NUMBER: 313218 �«UM'. CARMEL IN 46032 CHECK DATE: 07/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4340800 6/22/17 945.00 ADULT CONTRACTORS « CA) Ck § �N © e z w o > / E \ O % o [ 0 U o U & � % k k ] $ R 3 k m a CD -4 CD � 0 0 k q 2kc § % cn � CO) -u kkC0 C) \ 2 I K) § a / D) / d � ° k E 4A 4 C f 2 0 2 0 2 R ] � / D_ K o a ° @ o R* % � k q ° o - G 3 n CO - � R 0 E C 2 / § @ $ 2 E 7 ) ƒ k 3 / § k 2 s � R k k 0 CD w ƒ 7 q E O m & R / d »A § o / / / � | / o 0 ,2ec� 137L Dance Class Studio Invoice June 2017 Billing Invoice Date: June 22, 2017 Total Class Units Fee/Unit Due Success on Stage 1 945.00 945.00 Total due $ 945.00 Please remit payment to: Dance Class StudioF •� Rhonda Kaspar,Owner 10887 Sedgemoor Circle JUN 2 7 2011 Carmel, IN 46032 BY: .........................••••• I Thank you for allowing Dance Class Studio to share the love of dance at The Monon Center. Carmel • Clay Parks&Recreation CHECK REQUEST Date: Z IR P 7D —T JUN 272017 Check payable to: BY:.......................... Name: pcwc--- Cja-,S Sjv d t cS Address: IOU-7 Secla emook ' Col-e, City,State,Zip I N Z-6003 L Mail check to payee �Retum check to requestor Check Amount:$ 00 Date Required: fiy ?-?1-7 Purpose of Check: (/e-� 0v Supporting documentation or invoice(s)MUST be attached. To be paid from: PO#(if applicable) Budget account-GL# ��U Z —o(U r (-13 / o Budget Line Description V- )C1bK &CaG Requested by(print): Requested by(signature/date): Approved by(print): y ` ( V r Approved by(signature/date) Form recreated 3/10/15(Business Services) r'