215575 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 362031 Page 1 of 1
ONE CIVIC SQUARE BRENDA K BARRETT CHECK AMOUNT: $410.00
` CARMEL, INDIANA 46032 7128 SHOSHONE DRIVE
r'oN.`o INDIANAPOLIS IN 46236 CHECK NUMBER: 215575
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 NOV12 410 . 00 ADULT CONTRACTORS
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Brenda K. Barrett
ZUMBA
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7128 Shoshone Dr.
Indianapolis, IN 46236
INVOICE
Date:I 1/29/20`1=2
Invoice No..
Customer:
Company: Carmel Clay Parks and Recreation
Name: Lindsay Willard—Assistant Recreation Manager
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Address: 1235 Central Parks Drive East ?s
City, State, Zip: Carmel, tN 46032
Phone: (317) 573-5249
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Description To,talk.w�.t 'r Via:„
Date
Mondays 11/5:10,11/12:10,11/19:12,11/26:12=44x5.00— 220;00"ae'1 �
Q£'2'�,3'i q'f Sly,'M 4
Wednesdays 11/7:12,11/14:14,11/2]:no class 11/28:12=38x5.00= 190.0 Oy - �
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Total 44-1.-0-0`h
Make check to:
Name: ; =
Purchase i
Brenda K. U"
DescOpti
Barrett on ����°:;„
7128 Shoshone Dr. v<<,
P.O.# �q a2 3 P or
Indianapolis, IN 46236 0•L °
Budget '
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Approval - v Date]_,a-i L
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.
362031 Barrett, Brenda Terms
7128 Shoshone Dr
Indianapolis, IN 46236
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
11/29/12 NOV12 Zumba Nov'12 29223 $ 410.00
Total $ 410.00
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.
362031 Barrett, Brenda Allowed 20
7128 Shoshone Dr
Indianapolis, IN 46236
In Sum of$
$ 410.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-22 NOV12 4340800 $ 410.00 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
13-Dec 2012
Signature
$ 410.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund