HomeMy WebLinkAbout313974 7/20/2017-VOIDED CITY OF CARMEL, INDIANA VENDOR: 371815 CHECK AMOUNT: $*******100.00*
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,? _? CARMEL, INDIANA 46032 12819 E NEW MARKET ST CHECK NUMBER: 313974
CARMEL IN 46032 CHECK DATE: 07/20/17
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` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
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Nancy Heck 8 a�
CITY OF CARMEL4-1 eea�,_�,:_,._:
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WV Adam Harrington 1o4-11
FACILITY USE REQUEST FORM
Name/Organization: 1 We_ tT r"5e,
Point of Contact: ArnWbn, e-
Address: vt pl &",12 R rtC4 r
City, State,Zip: ��Y<< ILq(
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Home Phone: ( 1 V1,�� ��Cell Phone: (W 1 -51`�t
Email Address: am- Fax Number
For Profit Organization: _Non-Profit Organization: Individual:T
Day and Date Requested: UT—�V�y l520
Time Requested: �_a.m. to: 1`a�0/p•m. (This includes set-up and clean-up time.)
Rehearsal Date: j[ /� Time: 1r a.m./p.m. to Yl 1L, m./p.m.
City Facility Requested: Gazebo,T Fountain Area_ Japanese Garden
Palladium Center Green Caucus Room (1/3)_(2/3)_Council Chambers
Special Requests: Electricity Fountain Restroom Other (ice N.eLJ #WLd-
Purpose: " VA41-- �c.� � Number of People Expected: 2004
Vendors: Yes_ No y/ (See Item 5,City of Carmel Facility Use Policy attached)
City Street Closing: (See Item 9, City of Carmel Facility Use Policy attached)
Large or Race Events: YA d C',
Neighborhood Street Closing(Street(s),Address(es)Blocked) 1 (A o Lc� 4"/Wk Skye'
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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. Zk
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Received this day of ,201
Mayor's Office
Revised: 01/22/16