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HomeMy WebLinkAbout312317 06/13/2017 CITY OF CARMEL, INDIANA VENDOR: 371727 ONE CIVIC SQUARE ASIAN ART SOCIETY OF IMA CHECK AMOUNT: S""'""""100.00" CARMEL, INDIANA 46032 C/O NANCY INUI CHECK NUMBER: 312317 �M. 1338 N NEW JERSEY ST CHECK DATE: 06/13/17 INDIANAPOLIS IN 46202 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 GAZEBO 100.00 OTHER EXPENSES § b � qcz co 2 � o E 2 / )cz ) q ( k § 2 0 N @ 7 § § 69 k k k 0 U- 7 § // 7 C) Z) \ @ X m o cz _ @ % 2 � : 0 2 (D q a @ k -C � / z 3 z Z)L � k z < \ f H q g2 k k / 2 \ ƒ o C \ M ] 0) « 0 G 2 c ƒ < k/ < 7 R « d � ¥ LL z 23 / \ / L z `� 7 $ E � O k / k k dIL k 0 CL Approvals/Date Nancy Heck tel, ks� CITY OF CARMEL Lt.Joe Bickel OK-.5Aa-1-7 7-A Adam Harrington OK-3-a9-177 oA FACILITY USE REQUEST FO, ,4ame/Organization: Ag1),Sejj rX Ak Point of Contact: UIU l Address: City,State,Zip: As62,2 Home Phone: 0-W q(7-9 7 (< Cell Phone: 617) Email Address: V151 nuc ,a DU B C h, D Fax Number i ) For Profit Organization: Non-Profit Organization: �_Individual: r Day and Date Requested: S U K AOto, J Time Requested: y a.m .m to: a.m. (This includes set-up and clean-up time.) Rehearsal Date: Time: a.m./p.m. to a.m./p.m. City Facility Requested: Gazebo— Fountain Area Japanese Garden Palladium Center Green Caucus Room (1/3)—(2/3)_Council Chambers Special Requests: Electricity Fountain Restroom Other Purpose: tQ � t('_- Number of People Expected: - Vendors: Yes_ No (See Item 5,City of Carmel Facility Use Policy attached) City Street Closing: (See Item 9,City of Carmel Facility Use Policy attached) I Large or Race Events: IJ Neighborhood Street Closing(Street(s),Address(es) Blocked) The Carmel Board of Public Works and Safety reserves the right,in its sole discretion,to deny any facility use request and/or revoke any previously granted request to use a City facility for any lawful reason. Received this Q 7 +k`day of {�'�Q,r .201 7 Mayor's Office Revised: 01/01/2016 LA K.<< is Lt , Lk)e- re