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207727 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 360408 Page 1 of 1 ONE CIVIC SQUARE ADAMSON'S KARATE STUDIOS CARMEL, INDIANA 46032 PO BOX 3565 CHECK AMOUNT: $1,425.00 CARMEL IN 46082 CHECK NUMBER: 207727 CHECK DATE: 4/1012012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 11020 300.00 ADULT CONTRACTORS 1081 4340800 11021 300.00 ADULT CONTRACTORS 1081 4340800 11022 300.00 ADULT CONTRACTORS 1081 4340800 11023 300.00 ADULT CONTRACTORS 1081 4340800 11024 225.00 ADULT CONTRACTORS Mar 291211:04a Adamson 317 844 -0657 p.1 i �o F s s o Purchase Description P.O. 0 (O gT G. L. Budget Line Descr_ PO BOX 3565 Purchaser, Date Carmel., IN 46082 Approval Date 3 'Zq- I Z_ 317 844 -0657 6 °f) C aI adamsonkarate@aol.com Invoice #11020 March 29, 2012 Bill To: Carmel Clay Parks Rec Extended School Enrichment 1235 Central Park Drive E. Carmel, IN 46032 Fax: 317 -573 -5254 Re: Prairie Trace Elementary 4 week ESE course January 17, 2012 February 7, 2012 Total Invoice $300 Due on receipt Mar 29 12 11:04a Adamson 317- 844 -0657 p.2 s o s a 0 o purchase Description p or F G.L. Budget r0 Line Descr PO Box 3565 Purchaser Date i Z Approval Date 3 'Z 1 Carmel, IN 46082 317 844 -0657 adamsonkarateC@aol.com Invoice #11021 March 29, 2012 Bill To: Carmel Clay Parks Rec Extended School Enrichment 1235 Central Park Drive E. Carmel, IN 46032 Fax: 317 -573 -5254 Re: Orchard Park Elementary 4 week ESE course January 18, 2012 February 8, 2012 Total Invoice $300 Due on receipt Mar 29 12 11:04a Adamson 317- 844 -0657 p.3 Purchase \C Ma Description rF P.O. M kL 3` Budget l/ tine Descr pat .L Purchaser `Z, Date PO Box 3565 Approval Carmel, IN 46082 317- 844 -0657 adamsonkarate @aol.com Invoice ##11022 March 29, 2012 Bill To: Carmel Clay Parks Rec Extended School Enrichment 1235 Central Park Drive E. Carmel, IN 46032 Fax: 317 -573 -5254 Re: Cherry Tree Elementary 4 week ESE course January 19, 2012 February 9, 2012 Total Invoice $300 Due on receipt Mar 29 12 11:04a Adamson 317 844 -0657 p.4 o o Description P.O. —U��1 CO G. L. q NOD Budget Line Descr PO Box 3565 Purchaser 0 Date l Approval Date 3'2 1 ►Z Carmel, IN 46082 317 -844 -0657 adamsonkarate@aol.com Invoice #11023 March 29, 2012 Bill To: Carmel Clay Parks Rec Extended School Enrichment 1235 Central Park Drive E. Carmel, IN 46032 Fax: 317 573 -5254 Re: Smoky Row Elementary 4 week ESE course January 19, 2012 February 9, 2012 Total Invoice $300 Due on receipt Mar 291211:04a Adamson 317- 844 -0657 p.5 a s Purchase Description P.O.# o Po F G.L. Budget Line Descr Purchase Date �L PO Box 3565 Approval Date Carmel, IN 46082 317 -844 -0657 adamsonkarate@aol.com I nvoice #11024 March 29, 2012 Bill To: Carmel Clay Parks Rec Extended School Enrichment 1235 Central Park Drive E. Carmel, IN 46032 Fax: 317 573 -5254 Re: Carmel Elementary 3 week ESE course January 23, 2012 February 6, 2012 Total Invoice $225 Due on receipt 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. 360408 Adamson's Karate Studios Terms P.O. Box 3565 Carmel, IN 46082 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/29/12 11020 Enrichment classes PT 1/17- 2/7/12 30376 300.00 3/29/12 11021 Enrichment classes OP 1/18 2/8/12 30376 300.00 3/29/12 11022 Enrichment classes CT 1/19 2/9/12 30376 300.00 3/29/12 11023 Enrichment classes SR 1/19 2/9/12 30376 300.00 3/29/12 11024 Enrichment classes CE 1/23 2/6/12 30376 225.00 Total 1,425.00 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. 360408 Adamson's Karate Studios Allowed 20 P.O. Box 3565 Carmel, IN 46082 In Sum of 1,425.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. CCT #/TITLE AMOUNT Board Members Dept 1081 -99 11020 4340800 300.00 1 hereby certify that the attached invoice(s), or 1081 -99 11021 4340800 300.00 bill(s) is (are) true and correct and that the 1081 -99 11022 4340800 300.00 materials or services itemized thereon for 1081 -99 11023 4340800 300.00 which charge is made were ordered and 1081 -99 11024 4340800 225.00 received except 5 -Apr 2011 N dublqraVt Signature 1,425.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund