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312902 6/26/2017 (9- CITY OF CARMEL, INDIANA VENDOR: 367217 ONE CIVIC SQUARE SKY ZONE INDOOR TRAMPOLINE PARKCHECK AMOUNT: 5**"'1,312.15" CARMEL, INDIANA 46032 10080 E 121ST CHECK NUMBER: 312902 FISHERS IN 46037 CHECK DATE: 06/26/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 34450 1,312.15 FIELD TRIPS ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 367217 Sky Zone Indoor Trampoline Park Terms 10080 E 121st St Fishers, IN 46037 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 7/11/17 34450 LTW Field Trip 7/11/17 41412 $ 1,312.15 Total $ 1,312.15 I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer Sky Zone Indoor Trampoline Park SKY ZONER f. ..�. ln' f iA 10080 E. 121 st St .e � INDOOR TRAMPOLINE PARK Fishers, IN 46037 A PR 2 Q�] P:(317)572-2999 BY: INVOICE 34,450 ' '' 317-418-5267 Group Event -- 7/11/2017Tcti Carmel Parks and Rec Dowell,James jdowell@carmelclayparks.com Carmel,IN 46032 .N- 60 Areas Used Description Time Fishers Open Jump 1:30 pm- 3:30 pm Qtv Price Amount Reserved Jump 2HR 60 $20.00 $1,200.00 SkySocks 60 $2.00 $112.15 Tax $0.00 Total $1,312.15 Payments Event Total Rec# Date Paid Amount Description Event Total: $1312.15 -Payments: $0.00 Total Due: $1,312.15 Printed on 3/20/2017 at 1:05:53PM Carmel c. Clay Parks&recreation CHECK REQUEST 7Date: f w Check payable to: BY:.............................. Name: Flo Address: City, State, Zip I S k o r.�'j Mail check to payee Return check to requestor Check Amount: $ Date Required: "7)) 111 -7 Check needed for. ri Q-�o� A-t--Iy I—TLAj To be paid from: PO#(it applicable) �I ` Budget account- GL# I o a o � - -12'-) 3 o O Budget Line Description T GJ 1— t cl (� Supporting documentation or receipt(s)MUST be attached. t� Requested by (print): Oryvsh 0 " Requested by (signature): Approved by(signature of Division Manager): on this date Form revised 1-21-08