HomeMy WebLinkAbout236039 08/13/14 �'/a ,p''�i CITY OF CARMEL, INDIANA VENDOR: 365501
ONE CIVIC SQUARE SUGAR VALLEY CHECK AMOUNT: $*******230.00*
;? �;� CARMEL, INDIANA 46032 1467 EAST SR 67 CHECK NUMBER: 236039
,vy., �,�: MARSHALL IN 47859 CHECK DATE: 08/13/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 070314 230.00 FIELD TRIPS
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SUGAR V ANOE TRIPS,LTD 1-500-422-6638 AL AGREEMENT
DATE: L. HOL YN DEPARTURE TE IE: 4
Canoes @ $ TURKEY RUN 3 MILE
--�-n Kayaks $ � Do at tix Ford.Limit 3 hours(or bpm for S pm&after departures.)
Li V/ Tubes @ $ V
J CKS 6 MILE
Extra Persons SEE
. $ ock - son Bndge.Pick-up tunes: 2:45
JACKS E &4:15 MAP
TOTAL RENTAL $ Dock @ Jackson Bridge.Pick-up times: 2:45 &= O
f ) UPPER SHADES 12 MILE &4:15 ON BACK
PLUS DEPOSIT $ Dock at Narrows Creekside(by 4. ) quipment
( ue/ SHADES 15 MILE eturdt
1
I and all persons in my group gree to the f owing: ock at Cox Ford(by 6 pm) / v
1. I agree that canoeing/kayaking/ bing is at my o risk.
2. I will b liable for damage loss of a ui men . E UIPMENT RETURN POLICY:
(CanOKayak$500,Tube$40,P ddle 20, ) 1. ock at designated#�dge within time limit.
3. All sons in my group will dock t per pie p bridg 2, pty ad s, presery mise. ut of boat/tub
with time sta a ailure so will sult in tip t top o t pick-up br ge.
loss.of de exp ncu SV in r overin
abandoned Ste nt d/ oers. ( 4. t SV
&w o uipm turn po 5: -preservers pi
storage area.
4.All persons are physically able to'particpate. 6. Present this initialed form at office for deposit return.
5. If y party is taking alcohol, everyone is of legal age and has signed and agrees to alcohol policy. Failure to disclose
cohol will re in loss deposit and other applicable fines.
SIGNED:
Printed Name/Group (if any) . o��o- it f c,ar-pry.I r 6L lJ
ADDRESS: 9263 Bc --CC'Qk1— di- r�C'al�n�(�c�l• , T� �1�� �/
PHONE: :3 VT 53-6-2 #Vehicles in lot: Make&Color:
02� 0, co JILL � 5 2014
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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.
365501 Sugar Valley Terms
1467 East SR 47
Marshall, IN 47859
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/3/14 7/3/14 Field trip 7/3/14 xx857 $ 230.00
Total $ 230.00
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
120
Clerk-Treasurer
Voucher No. Warrant No. !'
365501 Sugar Valley Allowed 20
1467 East SR 47
Marshall, IN 47859
jf In Sum of$
$ 230.00
f
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE'
PO#"or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-13 7/3/14 4343007 $ 230.00 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
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7-Aug 2014
I Signature
$ 230.00 ; Accounts Payable Coordinator
Cost distribution ledger classification if I Title
claim paid motor vehicle highway fund
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