212365 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 364839 Page 1 of 1
i•�t. ONE CIVIC SQUARE ELIZABETH SCHWEIGEL
0
./?o CARMEL, INDIANA 46032 939 CONNER STREET CHECK AMOUNT: $300.00
NOBLESVILLE IN 46060 CHECK NUMBER: 212365
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 300 . 00 ADULT CONTRACTORS
SPECIAL NEEDS TAEKWONDO
939 Conner Street (Hwy 32/38)
Noblesville, IN 46060
www.indianataekwondoacademy.com
Instructor: Beth Schweigel
(317)758-0046 or bkschweigel(aaol.com
INVOICE
Class fees are $50 for a one hour class once a week, $75 for a one hour class twice
a week, $100 for a one hour class three times a week and $300 for one week Camp.
Monon Center Adaptive Classes:
TKD Summer Camp, 1 class a day per day for 5 days: July 30 — August 3, 2012
Cost per Camp = $300
Total amount due = $300 � � r
AUG 15 2012
*Please make checks payable to Beth Schweigel
B'"-:
Purchase �
Description
P.O.AMC Orb' �„--P or R
a.Lg a e� D�� L D
Line Descr^- LCt�C*r
Purchaser 0 _
Approval
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.
364839 Schweigel, Beth Terms
939 Conner Street
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/3/12 7/30-8/3/12 Taekwondo Adaptive classes 31166 $ 300.00
Total $ 300.00
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.
364839 Schweigel, Beth Allowed 20
939 Conner Street
Noblesville, IN 46060
In Sum of$
$ 300.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1096-70 7/30-8/3/12 4340800 $ 300.00 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-Aug 2012
L&)-�ymrny7
Signature
$ 300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund