169655 03/04/2009 c� +f CITY OF CARMEL, INDIANA VENDOR: 360890 Page 1 of 1
ONE CIVIC SQUARE TUMBLE TIME INDIANA INC
CARMEL, INDIANA 46032 4683 GRAND HAVEN LANE APT G CHECK AMOUNT: $165.00
iNMS IN 46280 CHECK NUMBER: 169655
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4340800 273 165.00 ADULT CONTRACTORS
r Tmbll TiriSeIndiana Inc,
Invoice
4683 Grand Haven Lane Apt G
Indianapolis, IN 46280 gate Invoice
11/262:: 1= 273
Bill To
Ben Johnson
Cannel Clay Parks and Recreation
1235 Central Park Dr E
Carmct, IN 46032
FEB zoos
Jay;
Item Description Qty Rate Amount
Zumba Kids Ages 6 to 13 yTs I 55.00 Forest Date E Zumba 11/06/08 55.00
Zumba Kids Ages 6 to 13 yrs li 55.00 Forest Dale E Zumba 11/13/08 55.00
Zumba Kids Ages 6 to 13 yrs 1 55.00 Forest Dale E Zumba 11/20/08 55.00
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escription
O.# 1 F
urchaser LS D
Apmval
Thank you for your business. Tota 0
$165.00
Phone E -mail
317- 987 -3946 terralyns@earthlink.net
FEq
00 00
1 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.
360890 Tumble Time Indiana Inc. Terms
4683 Grand Haven Lane, Apt G
1 Indianapolis, IN 46280
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/08 273 E squared classes FD
19894 f 165.00
Total 1 65.00
I 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.
360890 Tumble Time Indiana Inc. Allowed 20
4683 Grand Haven Lane, Apt G-
Indianapolis, IN 46280
In Sum of
165.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
1046 273 4340800 165.00 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 -Feb 2009
Z2
Signature
165.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund