241508 01/27/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 362202
ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $.."'"`810.50'
CARMEL, INDIANA 46032 4417 GRAND RAPIDS MIR CHECK 49512 CHECK DATE: 01/27/185
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
108,1. 4343007 489 810.50 FIELD TRIPS
GOODRICH SALES INVOICE
QUALITY
THEATERS U
Goodrich Quality Theaters Inc. INVOICE#489
DATE JANUARY 6, 2015
Goodrich Quality Theaters Inc.
4417 BROADMOOR
GRAND RAPIDS,MI 49512
Phone 616-698-7733
SOLD Carmel Clay Parks Recreation
To Tia Russell i
10404 Orchard Park DR
Indianapolis, IN.46280
I
PAYMENT METHOD' LOCATION JOB.
Hamilton 16 2/16/15 Admission to Paddington
ISI
ORDERED, SHIPPED DESCRIPTION ITEM# UNIT PRICE , .' LINETOTAL:
100 100 Child Ticket CHILD 7.00. 700.00
13 13 Adult Ticket ADULT 8.50 110.50
SUBTOTAL
SALES TAX
TOTAL AMOUNT DUE $810.50
7JAN 12 2015
BY:---_____
Carmel ® Clay
Parks&R.ecreation CHECK REQUEST
Date: January 5. 2015
Check payable to:
Name: Goodrich Quality Theaters Inc.
Address: 4417 Broadmoor
City, State, Zip Grand Rapids, MI 49512
Mail check to payee x Return check to requestor
Check Amount:$ 810.50 Date Required: February 16, 2015 J 1 J
Check needed for: West Clay School's Out Camp Field Trip
To be paid from:
L
PO#(if applicable)
Budget account-GL# 1081099-4343007
Budget Line Description Field Trip
brioice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): Tia Russell/Jess Ballinger/Leslie Wimberly
Requested by(signature):
Approved by(signature of Division Manager):
on this date �l � �5 J .IF�C• Y�r
JAN 12 2015
Form revised 7-7-08 Shared/Forms/Business Services/Check Request Form/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.
362202 Goodrich Quality Theatres Inc. Terms
4417 Broadmoor
Grand Rapids, MI 49512
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1/6/15 489 . Field trip 2/16/15 37949 $ 810.50
Total $ 810.50
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.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of$
$ 810.50
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT !' Board Members
Dept#
1081-99 489 4343007 $ 810.50 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 ,
January 22, 2015
I
Signature
$ 810.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund