206748 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366065 Page 1 of 1
y* ONE CIVIC SQUARE SHARON MCGOFF CHECK AMOUNT: $35.00
a CARMEL, INDIANA 46032 7323 N TUXEDO ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 206748
CHECK DATE: 2128/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 WCJAN12 35.00 ADULT CONTRACTORS
Fit 4 Life Coaching
Sharon McGoff
7323 N. Tuxedo Street
Indpls, IN 46240
317- 251 -9396
INVOICE
Date: Jan 31, 2012
Invoice No. WCJAN12
Customer:
Company: Carmel Clay Parks and Recreation
Name: Lindsay Willard Assistant Recreation Manager
Address: 1235 Central Parks Drive East FEB 0 9 1012
City, State, Zip: Carmel, IN 46032
Phone: (317) 573 -5249
Description Total.
Date
Jan 9, 2012 Elise Reister Wellness Coaching $35.00
Purchase WJ-Yl"4 C OQk�t n C4-0 f r ;a c
Description
P.O. _N1G Od25g I PorF
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une Des am'` 4 r-4vJv
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Purchaser Date 2 j Z
Approv Date Z
Please make check payable and send to:
Sharon MCGoff
7323 N. Tuxedo Street
Indpls, IN 46240
Thank You!
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.
McGoff, Sharon Terms
7323 N. Tuxedo Street
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1131112 WCJAN12 Wellness coaching contractor 35.00
Total 35.00
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.
McGoff, Sharon Allowed 20
7323 N. Tuxedo Street
Indianapolis, IN 46240
In Sum of
35.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. A.CCT #[TITLE AMOUNT Board Members
Dept
1096 -22 WCJAN12 4340800 35.00 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
23 -Feb 2012
f92AfTUJ a I7
Signature
35.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund