192135 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 362.438 Page 1 of 1
I, ONE CIVIC SQUARE ROB JENKINS CHECK AMOUNT: $490.00
a CARMEL, INDIANA 46032 4131 N COLLEGE AVE
INDIANAPOLIS IN 46205 CHECK NUMBER: 192135
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 9/10 -10/22 490.00 ADULT CONTRACTORS
Invoice for I" fall session 2010 ballroom dance classes at the Monon Center.
Social Ballroom Friday at 6:30
1. Sept. 10
2. Sept. 17`
3. Sept. 24"
4. Oct. I"
5. Oct. 8'
6. Oct. 15"
7, Oct. 22 n1
7 classes at $70 per class
Total due -$490
Robert Jenkins
4131 N. College Ave.
Indianapolis, IN 46205
Purchase
Description r 9
P.O. L 7— 7 &k.
G. L 0 `f
Budget
Une Descx 0 �f
Purchaser Date
Approval Datea
D 1
NOV 1 1 2010
BY:
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, Rob Terms
4131 N College Ave
Indianapolis, In 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10122/10 9/10 -10/22 Ballroom Fall 1 22867 490.00
Total 490.00
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
1 20
Clerk- Treasurer
Voucher No, Warrant No,
362438 Jenkins, Rob Allowed 20
4131 N College Ave
Indianapolis, In 46205
In Sum of
490.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1096 -50 9/10 -10/22 4340800 490.00 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
18 -Nov 2010
A amm'V
Signature
490.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund