168026 01/21/2009 a CITY OF CARMEL, INDIANA VENDOR: 359477 Page 1 of 1
ONE CIVIC SQUARE CLAUDIA HERNANDEZ CHECK AMOUNT: $1,500.00
CARMEL, INDIANA 46032 946 LENNOX LANE UNIT #207
CARMEL IN 46032 CHECK NUMBER: 168026
CHECK DATE: 1/21/2009
DE PARTMENT ACCOUNT P NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 004 1,500.00 OTHER CONT SERVICES
i
t
I N V O I C E
Bill To: Ship To:
.Invoice 004 Carmel Clay Carmel Clay
Invoice 0.110912009 Communications Center Communications Center
Date: 31 1" Avenue NW 31 t" Avenue NW
Customer Carmel, IN 46032 Carmel, IN 46032
ID:
01/09/2009
Spanish Immersion Class for
3/4 Karen von Kamecke (Quarterly $6000.00 $1500.00
Billing Installment 3)
Subtotal $1500.00
Tax n/a
Shipping n/a
REMITTANCE Miscellaneous n/a
Customer ID:
Date: Balance Due $1500.00
Amount Due:
Amount Enclosed;
Claudia Hernandez
946 Lenox Lane, Unit 207 Carmel, IN 46032 USA Phone: 317 695 -6536
Email: claudiahernandezus @yahoo.com
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/09/09 I 004 I $1,500.00
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
VO UCHER NO. WARRANT NO.
ALLOWED 20
Cla< Hernandez
IN SUM OF
946 Lenox Lane, Unit 207
Carmel, IN 46032
$1,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1115 004 43- 509.00 1 $1,500.00 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
Thursday, January 15, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund