HomeMy WebLinkAbout259903 06/24/16 (9,-
CITY OF CARMEL, INDIANA VENDOR: 365306
ONE CIVIC SQUARE DAVE& BUSTERS CHECK AMOUNT: $*******750.00*
CARMEL, INDIANA 46032 8350 CASTLETON CORNER CHECK NUMBER: 259903
INDIANAPOLIS IN 46250 CHECK DATE: 06/24/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 84815 750.00 FIELD TRIPS
Voucher No. Warrant No.
365306 Dave & Busters Allowed 20
8350 Castleton Corner Dr
Indianapolis, IN 46250
In Sum of$
$ 750.00
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-9 84815 4343007 $ 750.00 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
IPAy
Signature
$ 750.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Contact: Jennifer Gray
Booking: Carmel Clay Parks and Rec
Davem&JBuster s Owner: Jeni Abernathy
8350 Castleton Comer Dr Event Date: Thursday,0'TM 7—IV4120-1`6
4lndianapolls W46250=�� -00
Fh�one:(31Z)572-27.06 ' Booking Control a0E'd000001 DKjyrEAD
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Fax:
INVOICE
Account: Carmel Clay Parks&Recreation Sales Person: Jeni Abernathy
Contact: Jennifer Gray Sales Person 317-572-
Telephone: CEIVED
Address: 1411 E.116th St.Carmel,IN
46032 JUN 17
2016
Phone: (317)679-9867
Fax:
Email: igray@carmelclayparks.com
SUMMARY OF CHARGES
Subtotal
Other Items
50 Power Cards @$10.00 pcs $500.00
50 Unlimited Video Game Play ADDITION @$5.00 pcs $250.00
Subtotal Other:$750.00
Subtotal:$750.00
Less Deposits:$0.00. .
Balance Due:$750.00
Payment is due upon receipt.
If sending payment by company check, please send the check to the following address:
8350 Castleton Corner Dr
Indianapolis,IN 46250
Attn:Special Events
If you would like to pay by credit card, please contact.your Sales Representative.
Thank You for choosing Dave & Buster's, Inc.
Carmel • Clay
Parks&Recreation CHECK REQUEST
Date: 6/15/16
Fnv.JUN
f VED
Check payable to: 7 2016
Name: Dave & Buster's
Address: 8350 Castleton.Corner Dr.
City, State, Zip Indianapolis, IN 46250
Mail check to payee X Return check to requestor
Check Amount: $ 750.001 Date Required: .7/14/16
Check needed for:* Dave& Buster's for Chillville Summer Camp on 7/14/16
To be paid from:
PO#(if applicabl 40170
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): oem&116V
Approved by(signature of Division Manager):
on this date4J-(
Form revised 7-7-08 Shared/Administrative/Forms/Staff forms/Check Request(rev 7-7-08)