214804 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366720 Page 1 of 1
ONE CIVIC SQUARE ROBINSON COMMUNITY LEARNING CENTER
CARMEL, INDIANA 46032 CHECK AMOUNT: $500.00
921 N EDDY SOUTH BEND IN 46617 CHECK NUMBER: 214804
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4357004 500 . 00 EXTERNAL INSTRUCT FEE
Robinson Community Learning Ctr.
921 N. Eddy St. Invoice No.
ROBINSON South Bend, IN 46617
COMMUNITY (219) 631-8759 fax(219) 631-5889
EARNING
CENTER
Customer INVOICE
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Name Ben Johnson Carmel Clay Parks & Recreation Date
Address 1235 Central Park Drive East Oct. 2012
Order No. 0 ID'ia• I I
City Carmel State IN ZIP 46032 °?
Phone Rep
Phone Number 574-631-9424
Qty Description Unit Price TOTAL_ _
1 Take Ten Fee-training & strategies $500.00 $500.00
Q� i Z.
Purchm
Description ���o•"•`'�
P.O.! Q P flQ �
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Budget
Lino escr
***Travel expenses are not included`** �-
Purchaser
Approval
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Payment Details Sub Total $500.00
O Cash Shipping & Handling $0.00
OO Check Taxes N/A $0.00
C Credit Card TOTAL
Name $500.00
CC# Office Use Only I
Expires
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:,. JED
NOV 01 2012
BY;
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.
Robinson Community Learning Ctr. Terms
921 N. Eddy St.
South Bend, IN 46617
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/12/12 OCT'12 Training 29117 $ 500.00
Total $ 500.00
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.
Robinson Community Learning Ctr. Allowed 20
921 N. Eddy St.
South Bend, IN 46617
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In Sum of$
II
$ 500.00
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ON ACCOUNT OF APPROPRIATION FOR
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108 - ESE
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PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1081-99 OCT'12 4357004 $ 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
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15-Nov 2012
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III p•�G���2�/lllilX�i
Signature
$ 500.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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