245886 06/03/15 +% "fCITY OF CARMEL, INDIANA VENDOR: 369416
\; ONE CIVIC SQUARE JAMESON CAMP CHECK AMOUNT: $*******600.00*
CARMEL, INDIANA 46032 2001 BRIDGEPORT ROAD CHECK NUMBER: 245886
INDIANAPOLIS IN 46231 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 600.00 FIELD TRIPS
l MAY 222015
Jameson Camp
2001 Bridgeport Rd.,Indianapolis IN 46231
317-241-2661 317-241-2760(FAX)
JAMESON
CAMP
Ropes Course Agreement DISCOVER!
Organization Name: Carmel Clay Parks and Recreation
Contact Person: Jennifer Holder
Address: 10404 Orchard Park Drive South
City:--Indianapolis _ Stater IN Zip: 46280
Telephone: (day) 317.679.9867 (evening)
Email: jholder@carmelclayparks.com
Date of Event: June 4,2015 Time of Event: 10:30-2:30
No,of
Pricing participants.
Low Ropes/Team Building $12/person 50 $600.00
10:30-11:30&12:15-1:15
TOTAL.FEES
$ 600.00
Since pricing is dependant on the number of participants it is important that we have a
final count two weeks prior.to your coming. You will be invoiced according to the number
of participants we have at that time. Additional participants may be added after this time
only with approval.of Jameson staff and will be invoiced separately.
ta=ymw:mtt A cancellation fee of 20%of the total fee is due if the program is
cancelled with less than 24-hours'notice except for weather cancellations.
The above organization requests.the use of Jameson Camp facilities and agrees
individually and collectively as follows: - ---
1. Toi pay the remainder of the fees due before date of arrival.
2. To abide by our alcohol and tobacco free camp policy and all other camp policies.
3. Each participant must sign and submit the Challenge Course Release Form.
i
We agree to abide by the above listed camp policies and to abide by all financial
terms outlined on,the agreement.By signing,we also indicate that we have read,
understand and agree to abide by any additional policies outlined in the "Challenge
Course Guide "
Signature Title (D;,-u-,C4cr-
Date
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.
Jameson Camp Terms
2001 Bridgeport Rd
Indianapolis, IN 46231
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/4/15 CK Request Chillville Field trip 6/4/15 38512 $ 600.00
Total $ 600.00
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
Jameson Camp Allowed 20
2001 Bridgeport Rd
Indianapolis, IN 46231
In Sum of$
$ 600.00
I ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. CCT#lTITL AMOUNT Board Members
Dept# I,
1082-9 CK Request 4343007, $ 600.00 f. 1 hereby certify that the attached invoice(s), or
f 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
May 28, 2015
8`
Signature
$ 600.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund