315783 9/6/2017 4+d c�gyfi
CITY OF CARMEL, INDIANA VENDOR: 37101
�': o ORCHARD PARK PRESBYTERIAN CHURCbECK AMOUNT: S 100.00*
ONE CIVIC SQUARE 1605 E 106TH ST CHECK NUMBER: 315783
' CARMEL, INDIANA 46032 INDIANAPOLIS IN 46260 CHECK DATE: 09/06/17
'y ITON
DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT 00 -EXPENSES
101 5023990 GAZEBO
VOUCHER NO.-WARRANT NO.
ALLOWED 20
prj,j,,,j Va,rk;9res -f(Girl Glr,u/r�, IN SUM OF $
f(�05 1 CXQ_1 5t
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached
—' d
tie )' or
DEPT.# � _ bill(s) Is (are) true and correct and he
rb1 39 c+0
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification
claim paid motor vehicle highway fund
Nancy Heck(Q;L.A)Sf1 S-31--(
Lt.Joe Bickel
CITY OF CARMEL Adam Harrington
FACILITY USE REQUEST FORlw- - -- — --- ._--.-__----------__--
Name/Organization: A � K PresbWtcrj'an Church
Point of Contact: - a .ir' ch g er' and
Address. ,
ID t� MaK cc' 'r P&rbF zus.je.
city,state,Zip: _ jod lanann 1 j s . -TN 4 b Z 2 0
Home Phone:x'48171 g44-1�D'� Cell Phone: Mj 5 D 1 - 7 1 8 1 nbrn'A
Email Address: 6chehln&uahao.1-0fn Fax Number
For Profit Organization: Non-Profit Organization: Individual:
Day and Date Requested: -Su MaAk ALAI2usf3 201-7
Time Requested: -i _a.m19 to: 9 a.m (TW.includes ut_up and clan.ap time,)
Rehearsal Date: Time: a.mJp.m. to a.mJp.m.
City Facility Requested: 4o 4, ,"Fountain Area Japanese Garden
Palladium Center Green Caucus Room(1/3)_(2/3)_Council Chambers
Special Requests: Electricity,� Fountain Restroom X Other
Purpose: (QMft1UVijfijFW4' CO Number of People Expected: 5�
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)
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 a d/or revoke any previously granted request to use a City facility for
any lawful reason.
th
Received this dav of 201
Mayor's Office
Revised: 01/22/16