HomeMy WebLinkAbout246982 06/30/15 v,.
CITY OF CARMEL, INDIANA VENDOR: 367217
® ONE CIVIC SQUARE SKY ZONE INDOOR TRAMPOLINE PARKCHECK AMOUNT: $**...**952.15*
CARMEL, INDIANA 46032 10080E 121ST CHECK NUMBER: 246982
FISHERS IN 46037 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 24718 952.15 FIELD TRIPS
Carmel @ Clay
Parks&Recreation CHECK REQUEST
Date:
MAY 15 2015
Check payable to: _ ---
Name: 664.2 Do\
Address: I(n� d Q I a ` �} 4 1
City, State, Zip
Mail check to payee X Return check to requestor
Check Amount:$ �J�a Date Required: 715
Check needed for: L-earl TkG Lia a Fi e t n Tr-i p
To be paid from: t ,
PO#(if applicable) 3� —`,:�`
Budget account-GL# I C) D 20 (-j- 413 L1.3 '7
Budget Line Description 1_eq cA ` y Wo Al r,e16 t("t Q
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): (`filese-
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)
Sky Zone Indoor Trampoline Park
�q 10080 E. 121 st St
sM Fishers, IN 46037
CY P: (317)572-2999
za::��C::f� F: --
Invoice #24,718 MAY 15 2015
Gr p Dowell, James Bill To: Dowell, James==
Event Name: Dowell, James
Event Date: Tuesday, July 14, 2015 carmel, IN 46032
Event Time: 12:00 pm - 2:00 pm 317-418-5267
Items Purchased
Description Quantity Price Amount
Events
Non-Profit 90Min 60 $14.00 $840.00
SkySocks
SkySocks 60 $2.00 $112.15
$952.15
Notes:
Date Description Amount AuthNumber
Subtotal: $952.15
Sales Tax: $0.00
Invoice Total: $952.15
Deposits Paid: $0.00
Balance Due $952.15
Printed:5/1/2015 12:10:50PM We Wish You Fun Times& Great Memories Page 1 of 1
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.
367217 Sky Zone Indoor Trampoline Park Terms
10080 E 121st St
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
7/14/15 24718 LTW Field trip 7/14/15 38434 $ 952.15
I
Total $ 952.15
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.
367217 Sky Zone Indoor Trampoline Park Allowed 20
10080 E 121st St
Fishers, IN 46037
In Sum of$
$ 952.15
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-13 24718 4343007 $ 952.15 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
June 25, 2015
Signature
$ 952.15 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund