216755 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 359985 Page 1 of 1
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ONE CIVIC SQUARE INDY TAEKWONDO ACADEMY CARMEL
CARMEL, INDIANA 46032 12918 IVES WAY CHECK AMOUNT: $5,482.00
CARMEL IN 46032 CHECK NUMBER: 216755
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 Y122012 5, 482 . 00 ADULT CONTRACTORS
Indy Taekwondo Academy Carmel
JAN 0 3 2013 �
12918 Ives Way
Carmel, IN 46032 -
317.432.0397 Invoice No. Y122012
MONON CENTER INVOICE
Name Carmel Clay Park and Rec Date 10-Dec-12
Address The Monon Center
City 1235 Central Park Drive East
Phone Carmel, IN 46032
NOVEMBER DECEMBER 2012 TAEKWONDO CLASSES
Students Description Class Price TOTAL
18 Youth Taekwondo Class M&W 6:00 class BEGINNER $90.00 $1,620.00
13 Youth Taekwondo Class T&Th 5:00 class BEGINNER $90.00 $1,170.00
16 Youth Taekwondo Class T&TH 6:00 class INTERMEDIATE $90.00 $1,440.00
12 Youth Taekwondo Class M &W 7:00 class ADVANCED $90.00 $1,080.00
2 Sport Taekwondo Class T&Th 7:00 Nov $60.00 $120.00
1 Sport Taekwondo Class T&Th 7:00 Dec $52.00 $52.00
Please make check payable and submit to:
Indy Taekwondo Academy Carmel
Candice White
12918 Ives Way
Carmel, IN 46032
Purchase `NQ 01
Description
P.O.ri CO TOTAL $5,482.00
G.L.# I
Budget �,„
Line Descr ra �,U��4-e
Purchas Date ' 1
Approv If&&44" Date !2 Z 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.
359985 Indy Taekwondo Academy Terms
12918 Ives Way
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/10/12 Y122012 Youth programs 29327 $ 5,482.00
Total 7s 5,482.00
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
359985 Indy Taekwondo Academy Allowed 20
12918 Ives Way
Carmel, IN 46032
In Sum of$
$ 5,482.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#(TITLE AMOUNT Board Members
Dept#
1096-42 Y122012 4340800 $ 5,482.00 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
24-Jan 2013
Signature
$ 5,482.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund