173195 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 360408 Page 1 of 1
ONE CIVIC SQUARE ADAMSON'S KARATE STUDIOS
CARMEL, INDIANA 46032 PO BOX 3565 CHECK AMOUNT: $1,420.00
OM LO
CARMEL IN 46082 CHECK NUMBER: 173195
CHECK DATE: 6/10/2009
DEP ACCOUNT PO NUMBER INV NUMBE AMOUN DES CRIPTION
=1046 4340800 11011 560.00 ADULT CONTRACTORS
1046 4340800 11012 560.00 ADULT CONTRACTORS
1046 4340800 11013 300.00 ADULT CONTRACTORS
Purchase i
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Purchaser Date NAY 2 b 2009
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PO Box 3565 13Y:
Carmel, IN 46082
317- 844 -0657
adamsonkarate @aol.com
Invoice #11011
May 20, 2009
Bill To:
Carmel Clay Parks Rec
Extended School Enrichment
1235 Central Park Drive E.
Carmel, IN 46032
Fax: 317 -573 -5254
Re: Prairie Trace Elementary
8 week ESE course
3/31, 4/2, 4/14, 4/16, 4/21, 4/23, 4/28, 4/30
Total Invoice $560
Due on receipt
Purchase
Description
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PO Box 3565 App'c"
Carmel, IN 46082
317 -844 -0657
adamsonkarate @aoi.com
Invoice #11012
May 20, 2009
Bill To:
Carmel Clay Parks Rec
Extended School Enrichment
1235 Central Park Drive E.
Carmel, IN 46032
Fax: 317 -573 -5254
Re: Forest Dale Elementary
8 week ESE course
3/31, 4/2, 4/14, 4/16, 4/21, 4/23, 4/28, 4/30
Total Invoice $560
Due on receipt
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Description
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Purchaser Date MAY 2 6 ,2oag
PO Box 3565 Approval-` Date "U
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Carmel, IN 46082
317- 844 -0657
adamsonkarate @aol.com
Invoice #>t11013
May 20, 2009
Bill To:
Carmel Clay Parks Rec
Extended School Enrichment
1235 Central Park Drive E.
Carmel, IN 46032
Fax: 317 573 -5254
Re: Towne Meadow Elementary
4 week ESE course
3/30,4/13,4/20,4/27
Total Invoice $300
Due on receipt
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.
360408 Adamson's Karate Studios Terms
P.O. Box 3565
Carmel, IN 46082
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5120109 11011 E Squared Classes PT 20889 560.00
5120109 11012 E squared classes FD 20889 560.00
5/20/09 11013 E squared classes TM 20889 300.00
Total 1,420.00
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.
-360408 Adamson's Karate Studios Allowed 20
P.O. Box 3565
Carmel, IN 46082
In Sum of
1,420.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members
Dept
1046 11011 4340800 560.00 1 hereby certify that the attached invoice(s), or
1046 11012 4340800 560.00 bill(s) is (are) true and correct and that the
1046 11013 4340800 300.00 materials or services itemized thereon for
which charge is made were ordered and
received except
4 -Jun 2009
Signature
1,420.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund