215176 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 363625 Page 1 of 1
`:. ONE CIVIC SQUARE JEANNE SLAIN CHECK AMOUNT: $1,166.25
CARMEL, INDIANA 46032 14320 MURPHY CIRCLE WEST
CARMEL IN 46074 CHECK NUMBER: 215176
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 10/10-11/7 1, 016 . 25 ADULT CONTRACTORS
1096 4340800 10/12-11/9 150 . 00 ADULT CONTRACTORS
z yam.
Invoice instruction in the art of fencing
jeanne Stain Bill to: Carmel Parks and-Wecreatfon
1325 Centraf ParfDrive -East
CarmeC .qndf-ana 46032
Attn: Cfnds-aV Xe&r
Date'. J Date of.Service Description Number of Price Per Student: Total
students
11/7/12 10/10- First Fencers S $ 65.00 $ 325.00
11/7/12 16.2S
First Fencers(Austin"A.J."Lambert 16.25
attended only 1"class)
10/8-11/5/12 Fencing 1 9 $ 75.00 $ 675.00
1 21
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Purchase
Description-ikahr".4 sb:(e) lAQ01 ct Subtotal: $ 1016.25
--------------1—-----
P.O.# iv%C Li o *gq-,XA 'Polo
-------------
G.L# (046-LI)L-
Bud
U",rq0 PTarow con*-a -- -- ------t'cr Miscellaneous:
Purchase Date If Balance Due: $ 1016.25
Approval, Date—q*.L
REMIT PAYMENT TO: EMAIL PHONE
44
-sa res ain M-
-Ufffielp4idiiria 46074,--1-10:r b- I � 317.
432011V!urph�,CiFcI6-.Wfist-��
ex
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Invoice ` instruction in the art of fencing
Jeanne Stain Bill to: Carmel Paris and-Recreation
132s CentrafParf Drive Fast
Carmel, Ind-ana 46032
Attn: ?Katz Lefler
----. .._-.--_------.
Bate. I. Date ofServtce Description titinttx;rc}t _ Prii;CF'er._
_;tttcic.lits swi'Jc•itt
11/9/12 10/12/12- Adult Fencing 1 2 $ 75.00 $ 150.00
11/9/12
NOV 1 2012
Subtotal: $ ]50.00
?FY:
Purchase --- '
Description rrolt '9 thtwo
—- P.O.# __ M 00 35 Z Por16 Miscellaneous:
G.L.# Balance Due: $ 150.00
Budget --..---.------___._____-. -----_._-----__---
Line Descr �b ; N "
Purchaser ' Date t I 1`-� I L
Approval Date, Z
REMIT PAYMENT TO: EMAIL PHONE
g 14320 Murphy Circle West Carmel,Indiana-46074-1101 ,? _ aabreslain @aol:coin`•"'i:1-;�. 317.442.6101"���. }
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.
363625 Slain, Jeanne Terms
14320 Murphy Circle West
Carmel, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/7/12 10/10-11/7 Fencing Youth programs 29163 $ 1,016.25
11/9/12 10/12-11/9 Fencing program $ 150.00
Total $ 1,166.25
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.
363625 Slain, Jeanne Allowed 20
14320 Murphy Circle West
Carmel, IN 46074
In Sum of$
$ 1,166.25
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 10/10-11/7 4340800 $ 1,016.25 1 hereby certify that the attached invoice(s), or
1096-50 10/12-11/9 4340800 $ 150.00 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
r
29-Nov 2012
l
Signature
$ 1,166.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund