HomeMy WebLinkAbout245771 06/03/15 �%'��\ CITY OF CARMEL, INDIANA VENDOR: 369413
ONE CIVIC SQUARE CAPITAL IMPROVEMENT BOARD OF MdWCK AMOUNT: $*******400.00*
s. 4=�; CARMEL, INDIANA 46032 500 S CAPITAL AVE CHECK NUMBER: 245771
9.j�(t0N'G�` INDIANAPOLIS IN 46225 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 6/16/15 400.00 FIELD TRIPS
V
MAY 15 2015
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IndianaP* olis
INDIANA CONVENTION CENTER&LUCAS OIL STADIUM
500 South Capitol Avenue-Indianapolis,IN 46225
To: Carmel Clay Parks&Recreation June 16, 2015 . Invoice:,,,—,—
nvoice: - 6/16/2015
12415 Shelborne Rd.
Carmel Indiana 46074 Date: 5/6/2015
Attention:James Dowell
E_vent Name:
Carmer'Clay Parks&Recreation
Description: Amount:
Tour Guide Labor 70 @ $5.00 per person $ 350.00
Administration Fee $ 50.00
Paid
if you are Indiana State Sales Tax Exempt,please provide a completed Indiana State ST-105 form.
Building Rental: $ 400.00
Balance Due: $ 400.00
BALANCE DUE Remit to:
Capital Improvement Board of Managers
500 South Capitol Avenue
Indianapolis, Indiana 46225
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date:Al 1 Is
MAY 15 2015
Check payable to: --
Name: �oQi�-�1 TM ved-nen+s //3oard o� manoacEs
Address: JrOO �o�'�'�- L' aPI 'I'D rlvQhvQ
City, State, Zip ' +n a001 5 Z N q6Z Z —
Mail check to payee X Return check to requestor
Check Amount:$ 41E) Date Required: 6 16
Check needed for: L eO8 The, W a u F1 e,ITT-i tz
To be paid from: 22 Q'
PO flif applicable) J L4 G 1
Budget account-GL# I C)$2 O t 3' 413 L J 3 LOO 7
Budget Line Description Lea C1 I'i2I
Invoice(s)and Purchase Order(►f required)MUST be attached.
Requested by(print): Zo
Requested by(signature):
Qdm,!C�t AA
Approved by(signature of Division Manager):
on this date
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.
Capital Improvement Board of Managers Terms
500 South Capitol Avenue
Indianapolis, IN 46225
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/6/15 6/16/15 LTW Tour field trip 6/16/15 38463 $ 400.00
Total Is 400.00
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
I
Voucher No. Warrant No.
Capital Improvement Board of Managers Allowed 20
500 South Capitol Avenue .
Indianapolis, IN 46225
In Sum of$
$ 400.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-13 6/16/15 4343007 $ 400.00 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
May 28,2015
Signature
$ 400.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund