HomeMy WebLinkAbout318859 11/21/2017 1�u,Cgq�R
CITY OF CARMEL, INDIANA VENDOR: 355013
ONE CIVIC SQUARE ERIN RUSSELL CHECK AMOUNT: $""'"'100.00'
:? CARMEL, INDIANA 46032 14024 WASHITA CT CHECK NUMBER: 318859
v CARMEL IN 46033 CHECK DATE: 11/21/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
'/5- ALLOWED 20
L ('.n K'Itlsse i1 3
S5�3 IN SUM OF $
14C),
�Gs6+CL
r rrnel ; 1� 4(oO33
$ IDU
ON ACCOUNT OF APPROPRIATION FOR
4(01 6 1
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
DEPT.#
01 --- �3 or bill(s) is (are) true and correct and that
the materials or services itemized thereon
for which charge is made were ordered and
received except
20 —
n .
Sl ture
�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Adam Harrington
CITY OF CA1tMEL _ _ - - - _
FACILITY USE REQUEST FOS - --
anization:
Name/Org
Point of Contact: 'S
jjj� 11.1
Address: Q 3
City,State,Zip:
_Cell Phone
Home Phone. ,,. --
S S e eFax NumberT==:
Email Address:
anization: Individual: _._..
For Profit Organization' --- Non-Profit Org
f 0
Day and Date Requested: M. to: time,)
a.m p.m.
includes set-up and ekan-ap
. .
Time Requested. IL-63$ a.mjp.m.
Rehearsal Date:
Time: `' mjp.m. to
o
City Facility Requested: Gazeb
Fountain Area..._ Japanese Garden
podium Center Green
Caucus Room(1t3)_—(25)--Council Chambers
Fountpin Restroom Other
w'
Special Requests: Electricity ____� l/
1 umber of people Expected:
purpose: attached)
of Carmel Facility Use Policy
No�ee Item 5,City Use Policy attached)
Vendors: Yes See Item 9,City of Carmel Facility
City Street Closing:
Large or Race Events:
Neighborhood Street Closing(Street(s),Address(es)Blocked)
reserves the right,in its sole discretion,, o for
and Safety
The Carmel se re of Public Works
ke silly previously granted request to use a City
any faculty use request andl
any lawful reason.
201
Received this da of
Mayors Office Revised: 0laV16
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