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191351 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 364839 Page 1 of 1 ONE CIVIC SQUARE BETH SCHWEIGEL CARMEL, INDIANA 46032 939 CONNER STREET CHECK AMOUNT: $300.00 NOBLESVILLE IN 46060 CHECK NUMBER: 191351 CHECK DATE: 10/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 9/21 -10/14 300.00 ADULT CONTRACTORS Aft SrECIAL NEEDS TAEKWONDO 939 Conner Street (Hwy 3213$) Noblesville, IN 46060 www.indianataekwondoac@demy.com Instructor: Beth Schweigel (317)758 -0046 or bkschweigel(@aol.com INVOICE Class fees are $50 for a one hour class once a week, $75 for a one hour class twice a week, and $100 for a one hour class three times a week. Monon Center Adaptive Classes: Session 1, twice a week for 4 weeks Sept 21 Oct 14 Cost per class $75 PumhM Session 1 total $300 (v5 P.O' 4 P4 a.L 0 t Total amount due $300 l�l ie '�ctt� Cc�,t�c Please make checks payable to Beth Schweigel ID 2 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. Schweigel, Beth Terms 939 Conner Street Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10/14/10 9121 -10114 Taekwondo Adaptive classes 23865 300.00 Total 300.00 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. Schweigel, Beth Allowed 20 939 Conner Street Noblesville, IN 46060 In Sum of 300.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -70 9/21 -10114 4340800 300.00 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 21 -Oct 2010 Signature 300.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund