259917 06/24/16 �...,,+. CITY OF CARMEL, INDIANA VENDOR: 362202
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ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $*******627.00*
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CARMEL, INDIANA 46032 4417 BROADMOOR CHECK NUMBER: 259917
9M,�TON.�o` GRAND RAPIDS MI 49512 CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 540 627.00 FIELD TRIPS
Voucher No. Warrant No.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of$
$ 627.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 540 4343007 $ 627.00 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 21, 2016
Signature
$ 627.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
GOODRICH �.�' SALES INVOICE
QUALITY In
THEATERS
RECEIVED
Goodrich Quality Theaters Inc. Ioic'E#54
JUN 21 2016 DA•TL.,?UNE1`6, 2016
Goodri&S Santry Thgtpp, inc - $Y:
-1;7-'MOADMOOR r
�GRND�R
Phone`675-698 7733
SOLD Carmel Clay Parks &Recreation
TO Jennifer Gray
317-679-9867
jgray@carmelclayparks.com
PAYMENT METHOD LOCATION JOB
Hamilton 16 7/19/16 @ 1:30PM SECRET LIFE OF PETS OR THE BFG
ORDERED SHIPPED DESCRIPTION ITEM# UNIT PRICE LINE.-TOTAL
I
50 50 CHILD TICKET CHILD 7.00 $350.00
7 7 ADULT TICKET ADULT 7.00 $49.00
57 57 KID PACKS CONC 4.00 $228.00
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SUBTOTAL
SALES TAX
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TOS TA&� OUN'f-DUE 62VU0 °.
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: 6/15/16
RECEIVED
JUN 21' 2016
Check payable to: .
BY:
Name: Goodrich Quality Theaters, Inc.
Address: 4417 Broadmoor
City, State, Zip: Grand Rapids, Ml 49512
Mail check to payee X Return-check to requestor
Check Amount: $ 627.00 Date Required: 7/1.9/16
Check needed for: Goodrich Quality Theaters, Inc. for Chillville Summer Camp on.7/19/16
To be paid from:
PO#(if applicable) 40171
Budget account-GL# 1082-9 4343007
Budget Line Description . Field Trip
Invoice(s)and Purchase Order(if required)MUST be attached.
Requested by(print): Jennifer Gray
Requested by(signature) /LCL
Approved by(signatureofDivision Manager):
on this date
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)