HomeMy WebLinkAbout205784 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366003 Page 1 of 1
ONE CIVIC SQUARE NICOLE BAKER CHECK AMOUNT: $200.00
o CARMEL, INDIANA 46032 10729 N PARK AVE
INDIANAPOLIS IN 46280 CHECK NUMBER: 205784
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 2/20 200.00 ADULT CONTRACTORS
Carmel •Clay
Parks &Recreation CHECK REQUEST
Date: 1/16/12
Check payable to JAN 18 2012
Name: Nicole Baker
Address: 10729 N. Park Ave
City, State, Zip Indianapolis, IN 46280
Mail check to payee X Return check to requestor
Check Amount 200 Date Required 2/20/12
Check needed for Cherry Tree /College Wood SOC on Feb. 20
To be paid from
PO (if applicable) E0002157
Budget account GL 1081 -99 43408000
Budget Line Description Vendor
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Jennifer Holder 1-1 -2U C
Requested by (signature):
Approved by (signature of Division Manager): St K Y r n -Z6)
on this date
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
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2 _y,
Purchase
Nicole Baker Desc 'NUQ'CE
Licensed Zumba /Zumbatomic Instructor P.O. L
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C1 G.L.
10729 N. Park Ave Budget
Indianapolis IN. 46280 Line Descr I Z
Phone (317) 752 -0937 Purchase C Date
E -mail nvelaz.baker @gmail.com Approva Date 1 1/10/2012
DESCRIPTION HOURS RATE AMOUNT
Zumba class on Feb. 20, 2012 at Cherry Tree Elementary School 2 30 min. $50.00 $100.00
classes
Zumba class on Feb. 20,2012 at College Wood Elementary School 2 30 min. $50.00 $100.00
classes
TOTAL $200.00
Make all checks payable to Nicole Baker
Q,
JAN 1 1112
e
THANK YOU FOR YOUR BUSINESS! y.
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.
Baker, Nicole Terms
10729 N. Park Ave
Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/10/12 2/20 Zumba ESE CT CW 200.00
Total 200.00
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
i
Voucher No. Warrant No.
Baker, Nicole Allowed 20
10729 N. Park Ave
Indianapolis, IN 46280
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE n
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 2/20 4340800 200.00 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
26 -Jan 2012
61hk&L
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund