241724 02/03/15 �+ur C4AN
CITY OF CARMEL, INDIANA VENDOR: 362202
i ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $...****452.00*
CARMEL, INDIANA 46032 4417 BROADMOOR CHECK NUMBER: 241724
?M`oN b r GRAND RAPIDS MI 49512 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 490 452.00 FIELD TRIPS
GOODRICH SALES INVOICE
QUALITY
7AN
-THEATERS
2 6 2015
Goodrich Quality Theaters Inc. BY:--- --- INVOICE#490
DATE JANUARY 23, 2015
Goodrich Quality Theaters Inc.
4417 BROADMOOR
GRAND RAPIDS, MI 49512
Phone 616-698-7733
SOLD Carmel Clay Parks Recreation
TO Tia Russell
10404 Orchard Park DR
Indianapolis, IN 46280
PAYMENT METHOD LOCATION JOB
Hamilton 16 2/16/15 Admission to Paddington
ORDERED SHIPPED DESCRIPTION ITEM# UNIT PRICE LINE TOTAL
113 113 Kid Concession Snack Packs KID 4.00 452.00
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SUBTOTAL
SALES TAX I
TOTAL AMOUNT DUE $452.00
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Carmel Clay =BY:
Parks&Recreation CHECK REQUEST
Date: January 23 2015
Check payable to:
Name: Goodrich Quality Theaters Inc.
Address: 4417 Broadmoor
�I City, State, Zip Grand Rapids, MI 49512
I �
Mail check to payee x Return check to requestor
Check Amount:$ 452.00 Date Required: February 16, 2015
Check needed for: West Clay School's Out Camp Field Trip-Snack packs
To be paid from: \
PO#(if applicable)
Budget account-GL# 1081099-4343007
Budget Line Description Field Trip
Invoice(s)and Purchase Order(if required)MUST be attached.
I
Requested by(print): Tia Rus
Requested by(signature): . 'L//�///7
Approved by(signature of Division Manager):
on this date
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
1/23/15 490 Field trip 2/16/15 38023 $ 452.00
Total $ 452.00
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
120
Clerk-Treasurer
r
Voucher No. Warrant No.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of$
$ 452.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept#
1081-99 490 4343007 $ 452.00 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
January 29, 2015
Signature
$ 452.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund