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215074 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 362438 Page 1 of 1 ONE CIVIC SQUARE ROB JENKINS CARMEL, INDIANA 46032 4702 ARABIAN RUN CHECK AMOUNT: $1,270.00 .+ INDIANAPOLIS IN 46226 CHECK NUMBER: 215074 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 10/26 1, 270 . 00 ADULT CONTRACTORS Invoice for 1 st fall session 2012 at the Monon Center Swing 7:30 p.m. 1. Sept. 7th 2. Sept. 14th 3. Sept. 21 st 4. Sept. 28th j����, ��7ED 5. Oct. 5th 6. Oct. 12th NOV 16 2012 7. Oct. 19th 8. Oct. 26th BY 8 sessions at $70/session Total Due- $560 Private Group Purchase Descriptlon—L 1. Sept. 14th P.O.# ? !( Po 2. Sept. 21 st G.L# 109(g+5Q, �fQS.00 � 3. Sept. 28th Bneles�x ry r +p 4. Oct. 5th 5. Oct. 12th Purchaser Date 1 i 1 Z 6. Oct. 19th Approval Date 2 7. Oct. 26th 7 sessions at $70/session Total Due-$490 Private Lesson with Richard Young and JoEllen 1. Sept. 12th 2. Sept. 19th 3. Oct. 3rd 4. Oct. 17th 4 sessions at $55/session Total Due-$220 Grand Total Due-$1270.00 Robert Jenkins 4702 Arabian Run Indianapolis, IN 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. 362438 Jenkins, Robert Terms 4702 Arabian Run Indianapolis, In 46228 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 10/26/12 10/26 Social ballroom program 29162 $ 1,270.00 Total $ 1,270.00 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. 362438 Jenkins, Robert Allowed 20 4702 Arabian Run Indianapolis, In 46228 In Sum of$ $ 1,270.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-50 10/26 4340800 $ 1,270.00 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 29-Nov 2012 Signature $ 1,270.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund