HomeMy WebLinkAbout198420 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 364511 Page 1 of 1
ONE CIVIC SQUARE TAMARA AMMONS -JONES
CARMEL, INDIANA 46032 5651 RAWLES AVENUE CHECK AMOUNT: $75.00
INDIANAPOLIS IN 46219
„p„ a CHECK NUMBER: 198420
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/8 75.00 ADULT CONTRACTORS
Carmel c Clay
Parks &Recreation CHECK-REQUEST
Date: 2
Check payable to
Name: T()l lnn Y Amm- yn s "d1' "s
Address: 5b rs 1 R QWU its Yr
City, State, Zip
TN 4 (�2 °l
Mail check to payee Return check to requestor
Check Amount D Date Required
Check needed for KP
To be paid from //``//l))�'�
PO (if applicable) OOD U
Budget account GL 5 e 3 V� U V
Budget Line Description h
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): '�tSS i C c h card 5
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
Tamara Ammons -Jones INVOICE
5651 Rawles Ave Invoice Number: 0001
Indpls, IN 46219
(317) 658 -2594 Invoice Date: July 8, 2011
Order Information:
Orchard Park Elementary School hip hop workshop Ages 8 -14. �Q�r( C
Product Description Rate Hours Amount
Hip Hop dance workshop $75 /hr 1 $75
Total: $75.00
Please make all checks payable to Tamara Ammons -Jones
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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.
364511 Ammons Jones, Tamara Terms
5651 Rawles Ave
Indianapolis, IN 46219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/8/11 7/8 Field trip 75.00
Total 75.00
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.
364511 Ammons Jones, Tamara Allowed 20
5651 Rawles Ave
Indianapolis, IN 46219
In Sum of
75.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. 4CCT #/TITLE AMOUNT Board Members
Dept
1082 -6 7/8 4340800 75.00 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
16 -Jun 2011
Signature
75.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund