169004 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 361248 Page 1 of 1
ONE CIVIC SQUARE HOUSE OF MARTIAL ARTS
r CARMEL, INDIANA 46032 12570 N GRAY ROAD CHECK AMOUNT: $525.00
CARMEL IN 46033 CHECK NUMBER: 169004
CHECK DATE: 2/17/2009
DEPARTM ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 OCT -DEC 525.00 ADULT CONTRACTORS
House of MartAal Arts f" R CC', -r
12570 No. Gray Road
Carmel, IN 46033 Invoice Number: Oct -Dec
United States Invoice Date: Jan 1, 2009
Page: 1
Voice: (317)575 -9333 Duplicate
Fax: (317)575 -9333
Bill To: Ship to:
The Monon Center
1235 Central Park Drive East
Carmel, IN 46033 FE p 9 2009
I
I BY:
.Customer ID Customer PO Payment Terms
MOCESDA Net 30 Days
Sales ;Rep ID Shipping Method Ship Date :Due•Date
Airborne
1/31/09
Quantity Item Description Unit.Price Amount
8.00 October 8 Classes 25.00 200.00
November 7 Classes 175.00
December 6 Classes 150.00
Purchase Purchase
Description K� c fra �UV Description rclC� C�mtra aU��
P.O. 95 Pa F
P.O. 1gg E _(?1 a P F G.L.# c
0
G.L. Pro c C' fry Budget
Budget Line Descr u.. ra,r. Cc*f�ae rS
Line Descr y'� y 0 $w r
Purchaser C, Date a 4`j Purchaser C. Datr a U�
Approval Da
Approval Date—
Subtotal 525.00
Sales Tax
Total Invoice Amount 525.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 525.00
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 pRr day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No. 18816 F
361248 George Nae Terms
House of Martial Arts
12570 N Gray Rd
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/1/09 Oct -Dec Kickboxing Contract Oct,Nov,Dec PO 19951 F 525.00
Total 525.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
361248 'George Nae Allowed 20
House of Martial Arts
12570 N Gray Rd
Carlme.l, IN 41033 In Sum of
525.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Oct -Dec 4340800 525.00 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
13 -Feb 2009
Signature
525.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund