HomeMy WebLinkAbout259793 06/16/16 J uf".StAq�
! 4F. CITY OF CARMEL, INDIANA VENDOR: 369416
® ONE CIVIC SQUARE JAMESON CAMP CHECK AMOUNT: $*****1,080.00'
:; �� CARMEL, INDIANA 46032 2001 BRIDGEPORT ROAD CHECK NUMBER: 259793
�'��TON�° INDIANAPOLIS IN 46231 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 062816 1,080.00 FIELD TRIPS
Voucher No. Warrant No.
369416 Jameson Camp Allowed 20
2001 Bridgeport Rd
Indianapolis, IN 46231
In Sum of$
$ 1,080.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ft.CCT#/TITLE AMOUNT Board Members
Dept#
1082-13 CK Request 4343007 $ 1,080.00 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
June 8, 2016
Signature
Is 1,080.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1
01
RECF
on Carne MAY 2 4 2016
2001�Brid port'Rd.,Indianapolis IN'46231
317 241.2661317-Z41=2760:(FP►)C) BY:
Ropes- Course Agreement
-Organization Name: Carmel Clay Parks and Recreation--College.Wood,Mi,nen
Contac.Person: James Dowell
-Address: -12415 Shelborne Road
City: Carmel. State: IN: Zip: 46032 '
Telephone: (day): .317.418.5267- (evening)
Email:- James Dowell<jdowell@carmelclayparks.com>
Date.of Event: jure 2$;,2016 Time of Event: 1;00-4:00.
Pri
cwg participants
-Low Ropes/Team Building $18/person60 $1;080:00
1:00-4:00
.TOTAL FEES
AN]
108:Oi0;0 .
Since pricing is dependant on the number of pairticipants itis-important that we have a
final count.two weeks pnor.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. Payment is due prior
to your event. A.cancellation fee of 20%of the total.fee is due if the fee
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. To 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,;
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 byany additional.policI 's.outlined in the"Challenge
Course Guide."
Signature Title 0 hQ
r
Date
Carmel Clay
Parks&Recreation CHECK REQUEST
Date: S191 it,
MAY 2 4 2016
Check payable to: n� :
Name: JGne5 m Con(N p
Address: C�001 Pr180kcnz
City, State, Zip n � o S 6 Z 3
Mail check to payee Return check to requestor
Check Amount: $ 1(7$C) Date Required: off$ to
Check neededdfor: _ L T CO 1'ie ka i (J
To be paid from:
PO#(if applicable) Of
Budget account- GL# Q"S 2 0 1 - Ll 3L/30 02
Budget Line Description LTW Fie Tr-ja
Supporting documentation or receipt(a)MUST be attached.
Requested by (print): J Q M 5 O e.
Requested by (signature):
Approved by(signature of Division Manager):
on this date �1-7; � L)
Form revised 1-21-08