HomeMy WebLinkAbout233033 05/28/14 r 4�g
CITY OF CARMEL, INDIANA VENDOR: 368254
!_ ONE CIVIC SQUARE DNR CHECK AMOUNT: $"•'*"""110.00"
=a CARMEL, INDIANA 46032 C/O FORT HARRISON STATE PARK CHECK NUMBER: 233033
5753 GLENN ROAD CHECK DATE: 05/28/14
INDIANAPOLIS IN 46218
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 6/12/14 110.00 FIELD TRIPS
Ultt"`t:e!R Pence e .Gov?r1Cr
�997�h 77N FTA Ca-:'M`fl(%lark,Diredor
� ln° ana Delpar!'nent of Natural Resources
Fort Harrison Mate Park __ .
5753 Gt r=1 t Road C ' IVSD
ln(li,gn,apolisIN 4621P MAY 2 2014
PI-ion.-., ' BY
INVOICE
Bill To:
Attn: Dawn Koepper 5/20/2014
Carmel Clay Parks & Rec
1235 Central Park Drive East
Carmel, IN 46032
RE: Carmel Clay Parks & Rec
Field Trip to Fort Harrison State Park
Date Description Quantity Amount Owed
6/12/2014 57 @ $2.00 per person 55 $110.00
entering park via bus
Excluding one (1)
Bus driver & two (2)
Chaperones.
Total Amount Invoiced: $110.00
'"Please make checks payable to: DNR
An Equal Opportunity Employer
nnt'-'d On lit% rjt? ars';..
Carmel a clay
Parks&Recreation CHECK REQUEST
Date: 5/21/14
Check payable to:
Name: Fort Harrison State Park MAY 2 1 2014
Address:5753 Glenn Rd. ,T
City,State,Zip Indianapolis, IN 46216
Mai!check to payee X Return check to requestor
Check Amount:$ 110.00 Date Required: 6/12114
Check needed for. Fort Harrison State Park for Chillville Summer Camp on 6/12/14
To be paid from:
PO#(if applicable)
Budget account-GL# 1082-9 4343007
Budget Line Description Field Trip
Invoice(s,►and Purchase Order(if required)MUST be attached
Requested by(print): Jennifer Holder
Requested by(signature): AQ/V\.MjjAL CUAj
Approved by(signatureof ivisionn Manager):
T !j `
on this date L� `I
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.
DNR Terms
5753 Glenn Road
Indianapolis, IN 46218
Invoice Invoice Description
Date Number. (or note attached invoice(s)or bill(s)) PO# Amount
5/20/14 6/12/14 Fort Harrison field trip 6/12/14 xa619 $ 110.00
Total Is 110.00
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.
I
DNR I Allowed 20
5753 Glenn Road
Indianapolis, IN 46218
In Sum of$
$ 110.00 i
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 6/12/14 4343007 $ 110.00 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
I
22-May 2014
Signature
$ 11.0.00 1 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I "