HomeMy WebLinkAbout317592 10/19/2017 ;• CITY OF CARMEL, INDIANA VENDOR: 00352433 ## #
ONE CIVIC SQUARE CYNTHIA FAGEL CHECK AMOUNT: $ ####%100.00
CARMEL, INDIANA 46032 16702 LOWELL DRIVE CHECK NUMBER: 317592
o NOBLESVILLE IN 46060 CHECK DATE: 10/19/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
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Approvals/Date
Nancy Heck
CITY OF CARMEL l I�S�t �,_�,
Lt. Bickel
FACILITY USE REQUEST FORMAdam Harrington
Name/Organization: 0, -trz( FQL,ee__J
Point of Contact: ( C>k r
Address: i &I oz
Ci State Zip: 3r►'1J l Ci..d-�C'�. a6 o co d
Home Phone: ( ) Cell Phone:�(17)
Email Address: � '(ZDVY 01 ), C'Dm Fax Number { )
For Profit Organization: Non-Profit Organization: Individual:
Day and Date Requested: sa_-Tu , Se_RTE7y-)&--y_ W, I(A-_7
Time Requested: a.m .m. to: __(p_a.m./JoThis includes set-up and clean-up time.)
Rehearsal Date: q ? 1 n Time: a.m p.m. o 17 a.m.�m'�. 'j
City Facility Requested: Gazebo l- Fountain Area Japanese Garden
Palladium Center Green Caucus Room (1/3) (2!3)_Council Chambers
Special Requests: Electricity T Fountain Restroom X Other
Purpose: Number of People Expected: '15 - [C7f1
Vendors: Yes,_ NoX(See Item 5,City of Carmel Facility Use Policy attached)
City Street Closing: (See Item 9, City of Carmel Facility Use Policy attached)
i
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 '4day of201 _.
Mayor's Office
Revised: 01/22/16