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217818 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 363625 Page 1 of 1 ONE CIVIC SQUARE JEANNE SLAIN CHECK AMOUNT: $225.00 CARMEL, INDIANA 46032 14320 MURPHY CIRCLE WEST CARMEL IN 46074 CHECK NUMBER: 217818 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 1/22-2/1/13 225 . 00 ADULT CONTRACTORS C`'EIVED FEB 14 2013 Invoice in truction in the art of fencing Leanne S`ajn Bid to Carmel Parks andRecreation 132s- CentralPari Dive Fast Carmel?ndana 46032 Attm Matt leier Date Date.of Description Number of Price Per Total Service students i Student } 2/1/2013 1/11/-2/1/13 Adult Fencing 1 3 $ 75.00 $ 225.00 Subtotal: ; $ 225:00 Purchase Description U P 0r® P.O.# W1 ------ ----—-- - inar �/`l 409606 _ Miscellaneous: G.L# Budget Balance Due: $ 225.00 Line Descr Date Purchase -D ------- ateZ Approval - REMIT PAYMENT TO: EMAIL PHONE L14320.Murphv Circle West Carmel Indiana 46074-1101 V sabreslain@aol com ^—u 317.442f6101' 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 2/1/13 1/22-2/1/13 Adult fencing 1 1/11 -2/1/13 $ 225.00 Total $ 225.00 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. 363625 Slain, Jeanne Allowed 20 14320 Murphy Circle West Carmel, IN 46074 In Sum of$ $ 225.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 1096-50 1/22-2/1/13 4340800 $ 225.00_ 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 I 21-Feb 2013 I Signature $ 225.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund