HomeMy WebLinkAbout246356 06/17/15 CITY OF CARMEL, INDIANA VENDOR: 369503
ONE CIVIC SQUARE HOOSIER HEIGHTS INDOOR CLIMBING CHECK AMOUNT: $`*"""'600.00"
:9 ,_�: CARMEL, INDIANA 46032 9850 MAYFLOWER PARK DR CHECK NUMBER: 246356
°j��tuN�, CARMEL IN 46032 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/2/15 600.00 FIELD TRIPS
t .
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date:_61111 l
_MAY � � 2015
;-
Check payable to: --------
Name:-Hoosier, VA e:% IN o 1�
Address: 61b'50 1 � 1Ltu��r lower Por l`� U1'
City, State, Zip (2arnMe n) Q 16 O
Mail check to payee X Return check to requestor
Check Amount:$ to 00 Date Required: 7
Check needed for: L ea ThG b Fi 2.I i
c� l�J u Tr P
To be paid from: 2 Q
PO#( PP if applicable) 6 0 Li 3a_
Budget account-GL# I C)$20 t 3' 413 L1300 7
Budget Line Description Q(A 'PI A
Invoice(s)and Purchase Order(rf required)MUST be attached.
Requested by(print): MQS Zo wQ_1
Qdmec�t A/�
Requested by(signature):
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)
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Hoosier Heights lndianapoff 2015 Invoice No.
9850 Mayflower Park Dr Date: 04/29/15
Carmel, IN 46032 ----
INVOICE
Customer
Name: Carmel Clay Parks Department
Contact: James Dowell
Address:
City: State: ZIP:
Phone:
Qty Description Unit Price TOTAL
1 Group Fee for 60 climbers $ 600.00 $ 600.00
SubTotal $ 600.00
Shipping
Payment Check Tax Rate(s) F 0.00% $ -
Comments TOTAL $ _ 600.00 ._______ .
Name
CC# Office Use Only
Expires
All Checks made to Hoosier Heights In,door Climbing
ya Y:
HAPPY CLIMBING!
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.
Hoosier Heights Indoor Climbing Terms
9850 Mayflower Park Dr
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/29/15 7/2/15, Field Trip LTW 7/2/15 38432 $ 600.00
Total $ 600.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
Hoosier Heights Indoor Climbing Allowed 20
9850 Mayflower Park Dr
Carmel, IN 46032
In Sum of$
$ 600.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. CCT#MTL AMOUNT Board Members
Dept#
1082-13 7/2/15 4343007 $ 600.00 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
i received except
1i
i
June 11, 2015
I
Signature
$ 600.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund