221572 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 359985 Page 1 of 1
ONE CIVIC SQUARE INDY TAEKWONDO ACADEMY CARMEL
CARMEL, INDIANA 46032 12918 IVES WAY CHECK AMOUNT: $216.00
CARMEL IN 46032
CHECK NUMBER: 221572
CHECK DATE: 712/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 42913PS 216 . 00 ADULT CONTRACTORS
Indy Taekwondo Academy Carmel 't,
JUN 1 1 2013
12918 Ives Way
Carmel, IN 46032
317.432.0397 Invoice No. 042913PS
NIONON CENTER INVOICE
Name Carmel Clay Park and Rec Date 29-Apr-13
Address The Monon Center
City 1235 Central Park Drive East
Phone Carmel, IN 46032
MARCH APRIL 2013 TAEKWONDO CLASSES
Students Description Class Price TOTAL
4 Lil'Dragon 5:30 class Level I Monday ✓ $54.00 $216.00
Please make check payable and submit to:
Indy Taekwondo Academy Carmel purchase
Candice White
Description !'
12918 Ives Way P.O.# _ M C 00 H 9 3
Carmel, IN 46032 Poo
G.L# 10 9 1p 3 a y;y 0�-0 0
Budget
Llne Descr r�u y�y� ��h 1Yi ( -I-r
Purchaser /11;(/� °�^�a_J Datr -/;
Approv Date 10 j?
TOTAL $216.00
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
4/29/13 42913PS Youth programs $ 216.00
Total $ 216.00
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.
359985 Indy Taekwondo Academy Allowed 20
12918 Ives Way
Carmel, IN 46032
In Sum of$
$ 216.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE Board Members
Dept# NO. ACCT#/TITLE AMOUNT
1096-32 42913PS 4340800 $ 216.00 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
20-Jun 2013
Signature
$ 216.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund