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192702 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 364839 Page 1 of 1 if ONE CIVIC SQUARE BETH SCHWEIGEL CHECK AMOUNT: $300.00 939 CONNER STREET CARMEL. INDIANA 46032 NOBLESVILLE IN 46060 CHECK NUMBER: 192702 CHECK DATE: 12/10/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 11/2 -11/30 300.00 ADULT CONTRACTORS SPECIAL NEEDS TAEKWONDO 939 Conner Street (Hwy 32/38) Noblesville, IN 46060 www.indianataekwondoacademy.com Instructor; Beth Schweigel (317)758 -0046 or bkschweigel(cr�,aol.com INV OICE 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.. Nlonon Center Adaptive Classes: Session 2, twice a week for 4 weeks Nov 2 Nov 30 Cost per class $75 Session 2 total $300 j Total amount due $300 DEC 0 3 2010 E 7 `Please make checks payable to Beth Schweigel o P.O. a M l P JC6 Bud Li no 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. 361839 Schweigel, Beth Terms 939 Conner Street Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 11/30110 1112 -11130 Taekwondo Adaptive classes 27995 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. 364839 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 1112 -11130 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 9 -Dec 2010 Signature 300.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund