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311496 05/23/17 ,�; 4� CITY OF CARMEL, INDIANA VENDOR: 365306 ONE CIVIC SQUARE DAVE& BUSTERS CHECK AMOUNT: $k*..... ****160.00* a°; CARMEL, INDIANA 46032 8350 INDIANAPOLIS IN CORNER CHECK NUMBER: 311496 M;,a CHECK DATE: 05/23/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 134658 160.00 GENERAL PROGRAM SUPPL $ e - % R co 0) %M O k \ w # q 2 o > f k 0 0 4Aq Q / / / § & / O o k m w 0 / \OD § o a a c 0 7 7ka / / t \ \ 2 0 CD $ J k § \ 0 k k / \ } r- T CD CA CD � X CD C z z [ > P E \ z C) §0 S R ; » ] - D Kk / m $ CD ] m E 0 E E a 2 ` 0 Q o 2 7 > 3 f m _ 0 j :2. j @ J E � & » ) ƒ k - % \ § k 2 a < � m N) o & \ & E CL CD a CD � qk 0 0 k § ) m k k \ Q % o Jz CDE | 0 R 5JSt/2017. https://www.sertifi.com/davearidbusters/signade images y5.aspx?requesfid=AQAMObHBZrYmAV4Yc aDXX10 .._. Carmel Clay 134658.doc /'/4 Y Contact:Michelle Yadon Dave& Buster's Booking: Carmel clay n' Owner. Jeni King Wr50 Castleton Comer Dr ` Event Date: Sunday,04130/2017 P (�!5 44622 ' ( Booking Control: a0E0V00001Gggp9UA8 Fax s invoice K: 134656 INVOICE Account Carmel Clay Parks&Recreation Soles Person: lent King Contact: Michelle Yadon Sales Person 317.572-2722 Telephone: Address: , Phone: (317)938-S300 Fax: Ercall: myadon@carmeklayparks.com ARY Of 04ARM Subtotal Other hems 16 Power Cards @$70-00 Pts 5370.00 16 Come-Power Cards @$-10.00 pes 5-160.00 SubmW Dither.$160.00 Subtabl:$160.00 leu Deposits:50.00 111a4nce Due:$160.00 Payment is due upon receipt. If sending payment by company check,please send the check to the following address: 8350 Castleton Corner Dr Indianapolis,IN 46250 Attn:Special Events If you would like to pay by credit card,please contact your Sales Representative. Thank You for choosing Dave&Buster's,Inc. (Type Name) m yadonecsnneklaypantscom Page 1 httpsJM,ww.sertifi.com/daveandbusters/sigriable images_y5.aspx?requesbd=.AQAMObHBZrYmAV4YcDPyaD)(10 1/1 1 1 2017 Carmel • Clay Parks&Recreation CHECK REQUE Yr ;._ Date: 5/9/17 Check payable to: Name: Dave&Busters Address: 8350 Castleton Commons Dr, Indianapolis, IN 46250 City,State,Zip Indianapolis,IN 46250 Mail check to payee x Retum check to requestor Check Amount:$ 160.00 Date Required: June 30th,2017 Purpose of Check: Pay for playcards to Dave&Busters Supporting documentation or invoice(s)MUST be attached. To be paid from: PO#(if applicable) Budget account-GL# 1096704239039 Budget Line Description General Program Supplies Requested by(print): Michelle Yadon Requested by(signature/date): ZL G��t X U%� c Approved by(print): SNuKa a'uQ,N Approved by(signature/date) MQW-AAS l p,�Asnt,Ut� Form recreated 3/10/15(Business services)