315770 9/6/2017 (9)
CITY OF CARMEL, INDIANA VENDOR: 371906 ,,,,t,,,,,,,ONE CIVIC SQUARE JUDAH DOUPE CHECK AMOUNT: S 100.00`
CARMEL, INDIANA 46032 1047 CARMELDII N TRAIL DRIVE APT D CHECK NUMBER: 315770
CHECK DATE: 09/06/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
DEPT.#
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materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r.rr.WVWi, 1 VOM -
Nancy Heck ( .AIS u-
Charlie Driver - 1 -
CITY OF CARMEL Adam Harrington
FACILITY USE REQUEST FORD --
Name/Organization: Charity Howell and Judah Doupe
Point of Contact:
Address: 1047 Indiana Trail Drive Apt D
City,State,Zip: Carmel IN 46032
Home Phone: ( 1 Cell Phone: (31,$) .178_7R,;_
Email Address: nmall rnm Fax Number
For Profit Organization:. Non-Profit Or anization•
dndividual: X
Day and Date Requested:
Time Requested: 3pm a.m./p.m. to: p .m./p.m.(This includes set-up and clean-up time.)
Rehearsal Date: N/A Time: a.m./p.m. to a.mJp.m.
City Facility Requested: Gazebo X Fountain Area Japanese Garden
Palladium Center Green Caucus Room(1/3)_(2/3)_Council Chambers
Special Requests: Electricity Fountain Restroom Other
Purpose: wedding Number of People Expected: 50
Vendors: Yes_ No X (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:
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 day of 1201
Mayor's Office
Revised: 01/22/16