258730 05/18/16 CITY OF CARMEL, INDIANA VENDOR: 369503
J.
.( ,• ONE CIVIC SQUARE HOOSIER HEIGHTS INDOOR CLIMBING CHECK AMOUNT: $*******600.00*
CARMEL, INDIANA 46032 C9850 MAYFLOWER
ARMEL IN 6032 PARK DRIVE CHECK NUMBER: 258730
*c oN CHECK DATE: 05/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 6716 600.00 FIELD TRIPS
Voucher No. Warrant No.
369503 Hoosier Heights Indoor Climbing Allowed 20
9850 Mayflower Park Dr
Carmel, IN 46032
In Sum of$
$ 600.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-13 6716 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
received except
May 17, 2016
Signature
$ 600.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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.
369503 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
4/25/16 6716 LTW Field Trip 6/7/16 39840 $ 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
Carmel c Clay
Parks&Recreatton CHECK REQUEST
Date: S . Ci , b C V
MAY Y 1 2016
Check payable to:
Name: 14i r
Address:
City, State,Zip Q-0 r lrv%C\ , �� LI l O3
Mail check to payee � Return check to requestor
Check Amount: $ �0 d Date Required:- • 7. �C,
Check needed-for. L.TL,J r I e,I OA c'
To be paid from:
PO#Cf applicable) ---
Budget account- GL# 10 s 2.01?Z 41'Y13 002
Budget Line Description L.T( ,j -P Irl Tt` t'J
Supporting documentation or receipt(s)MUST be attached.
Requested by (print):
Requested by (signature):
Approved by(signature of Division Manager:
on this date
Form revised 1-21-08
u ice '
00
S ergSee-a,
s lit 04 251.1
9850 Mayf!owel ,r e IN 4603
INVOICE
Customer
Name: College Wood Elementary
Contact: James Dowell
Address: 12415 Shelborne Road
City: Carmel State: IN ZIP: 46032
Phone: (317)418-5267
•----------- --- --- -- ---------- -- ---------- __
----Q�ty D9SICU,trop--•- ----- -. . ............ nit Pace_ TOTAL --
�-� U
1:�c r p RQce,�atinn Fig r,.liharc/era__ 11%CIIfi�7eG $ 600.0+0600:00 ;
--1-((A
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RECEYVED
ry,
•---••-•----•--......... ------•----------•----••-•-------------•-------------- -•••- ----------SutiTotal�$�� �s0000y MAY 11 2016
Shipping..-
Payment lCheck Tax Rate(s) - 0:00%0 . ' ' _y BY:
Comments-•---------------------------------------------- TOTAL$ F 6000
Name
CC#
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Expires P
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All C ec!<s made to Hoosier e" hfs. 9850 . a lowe. ar �rrde, I dianapoiis IN
02
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HAPPY CLIMBING!