HomeMy WebLinkAbout316633 9/29/2017 4+u.t��MF
�>; � CITY OF CARMEL, INDIANA VENDOR: 371972
(� E ONE CIVIC SQUARE RONNIE& LINDA BRASHER CHECK AMOUNT: S'"'""100.00'
i? ,r° CARMEL, INDIANA 46032 6259 BISHOPS POND LANE CHECK NUMBER: 316633
°b, INDIANAPOLIS IN 46268 CHECK DATE: 09/29/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
CITY OF CARMEL
An invoice or 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.
-4 39 iq q a' Payee
O not G + Lmda GrcAS Yner Purchase Order No.
�0..�5 of t ShO ?onj Lp&. Terms
_T itj�CA,Dn�►S;_ _D-k Y60- Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
20Clerk-Treasurer
A o /Date
Nancy Hec
Lt.Joe Bickel 00< _f
CITY OF CARMEL Adam Harrington
FACILITY USE REQUEST FORM
,ne/Organization: CI'111.1 e �rAS�R✓ "� lvt �Q�G� ��S
aint of Contact:
Address: (p.z Sq 2j�S�1CC -!S �CVIL� a✓lam
City,State, Zip: d S _�-_K) �I-(:P 2-to�S
Home Phone: Cell Phone: Erl) 75 tp - -7/b
r Email Address: ` .�CC/� �Gt 17(W G�t Fax Number )
For Profit Organization: "— Non-Profit Organization: Individual:
Day and Date Requested:
Time Requested: 1 2- A.m.& to: a.m. l.m (This includes set-up and clean-up time.)
Rehearsal Date: Time: a.m./p.m. to a.m./p.m.
City Facility Requested: Gazebo Fountain Area Lf""Japanese Garden
Palladium Center Green Caucus Room (1/3)_(2/3)_Council Chambers
Special Requests: Electricity . Fountain Restroom V Other
Purpose: ( Number of People Expected: _ Q
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 and/or revoke any previously granted request to use a City facility for
any lawful reason.
Received this day of / '' ,201
Mayor's Office
Revised: 01/22/16