HomeMy WebLinkAbout170757 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362750 Page 1 of 1
ONE CIVIC SQUARE MIMI BROOKIE CHECK AMOUNT: $180.00
CARMEL, INDIANA 46032 3633 EDEN PLACE
CARMEL IN 46033 CHECK NUMBER: 170757
CHECK DATE: 4/1612009
QE PARTMENT ACCOUNT PO NUMBER I NUMBER AM OUNT DESCRIPTION
.3°047 4340800 180.00 ADULT. CONTRACTORS
r
Mimi Brookie
Certified Group Fitness Instructor
Certified Personal Trainer
INVOICE
Date: 3/19/09
Invoice No. 001
Customer:
Name:Mimi Brookie
Address:3633 Eden Place
City, State, Zip: Carmel, IN 46033
Phone: (317) 573 -5249
Description Total
Date
2/26 .5 hr. prep., l hr. workshop 1.5
3/5 .5 hr. prep., 1 hr. workshop 1.5
3/12 .5 hr. prep., 1 hr. workshop 63—UA 1.5
3/19 .5 hr. prep., 1 hr. workshop �1.5
6 hours
Total 180.00
Make check to:
Name: Mimi Brookie Purchase
Address•Eden Place �4f+ Sns +r, cto 2 rij. 114
Carmel, IN 46033 Parp
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BY:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Brookie, Mimi Terms
3633 Eden Place
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/19/09 1 Instructor Group Fitness Inst. Training 180.00
Total 180.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Brookie, Mimi Allowed 20
3633 Eden Place
Carmel, IN 46033
In Sum of$
tq
180.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1 4340800 180.00 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
f
8 -Apr 2009
Signature
180.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund