222030 07/17/2013 *� CITY OF CARMEL, INDIANA VENDOR: 367258 Page 1 of 1
ONE CIVIC SQUARE ROBBY HUANG CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 751 N RANGELINE ROAD APT 1
CARMEL IN 46032 CHECK NUMBER: 222030
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 7/12/13 50 . 00 ADULT CONTRACTORS
JUN 2 1 1013
Inoic'e 00.0,1; June 12, 2013
Revel Fitness
13720A Meridian St
Carmel, IN,,'.- '6032'
(317) 258-9126
Invoice for Zumba Instruction for July 12, 2013
Customer Name: Trina Floyd-Messer
Purchase
Contact: tfloydmesser @carmelclaypa-rks-.com Description C�
Venue: Carmel Elementary P.O.# 35 f' p
101 4th Avenue G.L.#
Carmel, IN. 46032 Bud iet c��
Purchaser — _ .Date
Date , - 13
Description of Work
Date: July 12, 2013
Time: 1:00pm - 2:00pm
Event: Summer Camp
What: Instruct two half hour Zumba classes for two age groups
Payment Due:
S50
(Payable to "Robbyjjuang.")
Carmel QClay
Parks&Recreation CHECK REQUEST
Date: June 13, 2013 FC'°�a k -
JUN 21 2013
Check payable to: BY�:
Name: Robbie Huang
Address: 1370 N. Meridian Street
City, State, Zip Carmel, IN 46032
Mail check to payee X Return check to requestor
Check Amount: $50.00 Date Required: July 12
heck needed for: Zumba Class for Play On West
To be paid from:
PO#(if applicable)
Budget account-GL# I - (�—����� W()
Budget Line Description Play On West-Vendor
Invoice(s) and Purchase Order(if required) MUST be attached.
Requested by (print): T. Flo d, esser
Requested by (sig -�
Approved by (signature of Division Manager):
on this date (P—
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)
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.
Huang, Robby Terms
13720 N Meridian St
Carmel, I N 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
7/12/13 7/12/13 Zumba 7/12/13 $ 50.00
Total $ 50.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
Huang, Robby Allowed 20
13720 N Meridian St
Carmel, IN 46032
In Sum of$
$ 50.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1082-11 7/12/13 4340800 $ 50.00 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
10-Jul 2013
$ 50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund