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248728 08/26/1 5 0!, CITY OF CARMEL, INDIANA VENDOR: 353800 ......ONE CIVIC SQUARE BEN & ARTS CHECK AMOUNT: S" 430.00'CARMEL, INDIANA 46032 13875 TRADE CENTER DRIVE CHECK NUMBER: 248728 FISHERS IN 46038 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 7/30/15 430.00 FIELD TRIPS i Employee'slnitial for Q� Please Read & Initial ® telephone reservations S I. Unless prior arrangments have been made, total payment is due at the end of your event. Payment can be made via cash or credit card. No personal checks accepted. 2. Due to other reservations, additional time cannot be guaranteed before or after the scheduled time in the private party rooms. Your group Party Planner may utilize the arcade, restaurant and outside picnic area, if available. 3. All food and beverages must be purchased from Ben& Ari's with the �y� exception of birthday cakes or cupcakes. Name: �'''`�L �� Package T * da Group Team A yy��,� 9 - � Y p Address: /�� ����' 1�1 ' o - ofit Corporate Event Phone Date of Party: Day: LA/5 Room Time - From: to 9'db` # In Group: If applicable,company, organization or team name: (Minimu of Menu: Pizza [ Soft Drinks Child's Name g- / 1lr6 Entertainment: Golf Tokens # 0 Bowling $ Per Person:$ C•�X Other Costs: Sub Total: Tax: Total Charge: 30•.�O Deposit Paid: Balance Due: We . look forward to Usiing your event! _ Signature: Date: Food Information: Room# Food Time: Cake Knife: Number of Plates/Napkins: Number of Cups: Pizza: Other Menu Items: SOFT DRINKS (indicate # of Pitchers): Coke Diet Coke Cherry Coke Sprite Lemonade Fruit Punch Root Beer Water (no charge) 131175 TRADE CENTER DRIVE, FISHERS, IN 46038 SR37N & 141ST STREET 317-770-5294 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. 353800 Ben &Ari's Terms 13875 Trade Center Drive Fishers, IN 46038 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 7/30/15 7/30/15 Outdoor Explorers Field trip7/30/15 38013 $ 430.00 I Total $ 430.00 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. 353800 Ben &Ari's Allowed 20 13875 Trade Center Drive Fishers, IN 46038 In Sum of$ $ 430.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members Dept# 1082-3 7/30/15 4343007 $ 430.00 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 August 20, 2015 1P*0"VXtAj Signature $ 430.00_ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund