312872 6/26/2017 0�„,'` CITY OF CARMEL, INDIANA VENDOR: 365306 M+k+.750.00'
ONE CIVIC SQUARE DAVE& BUSTERS CHECK AMOUNT: $**
s � CARMEL, INDIANA 46032 8350 CASTLETON CORNER CHECK NUMBER: 312872
+ INDIANAPOLIS IN 46250 CHECK DATE: 06/26/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 134786 750.00 FIELD TRIPS
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Contact: Jennifer Gray
Booking: Carmel Clay Parks and Rec-RETAIL
Dave & Buster's ONLY
8350 Castleton Comer Dr * Owner: Jeni King
Indianapolis IN 46250 s Event Date: Tuesday, 07/11/2017
Phone: (317)572-2706 g
Fax: Booking Control: a0EOV00001KGWfwUAH
�
Invoice#: 134786
INVOICE
Account: Indianapolis 2017 General Social Events Sales Person: Jeni King
Contact: Jennifer Gray Sales Person 317-572-27
Telephone:
Address: 1411 E.116th St.Carmel,IN JUN 1 6 ?p
17
46032
Phone: (317)679-9867 z
Fax: BY.
n
Email: igray@carmelclayparks.com
SUMMARY OF CHARGES
Subtotal
Other Items
50 Power Cards @$10.00 pcs $500.00
50 Power Cards Activation Fee @$2.00 pcs $100.00
50 Unlimited Video Game Play ADDITION @$5.00 pcs $250.00
50 Comp-Power Cards @$-2.00 pcs $-100.00
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: 6/14/17 RP
JUN 142017
Check payable to:
Name: Dave&Buster's
Address: 8350 Castleton Corner Dr.
City,State,Zip: Indianapolis,IN 46250
Mail check to payee _X Retum check to requestor
Check Amount:$750.00 Date Required:7/11/17
Purpose of Check:Chillvillle Field Trip to Dave&Buster's on 7/11/17
Supporting documentation or invoice(s)MUST be attached.
To be paid from:
PO#(if applicable)
Budget account-GL# 1082009
Budget Line Description: 4343007
Requested by(print): Jennifer Gray
Requested by(signature/date): L1tQ I '
Approved by(print):
Approved by(signature/date) 1
Form recreated 3/10/15(Business Services)