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320114 12/21/17 1y�.C49,yf ;; tr CITY OF CARMEL, INDIANA VENDOR: 362202 ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $.....1,275.00' CARMEL, INDIANA 46032 4417 BROADMOOR CHECK NUMBER: 320114 9y�TSN_A� GRAND RAPIDS MI 49512 CHECK DATE: 12/21/17 DEPARTMENT ACCOUNT _ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343007 579 1,275.00 FIELD TRIPS Voucher No. Warrant No. 362202 Goodrich Quality Theatres Inc. Allowed 20 4417 Broadmoor Grand Rapids, MI 49512 In Sum of$ $ 1,275.00 ON ACCOUNT OF APPROPRIATION FOR 108 -ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-99 579 4343007 $ 1,275.00 1 hereby certify that the attached invoice(s), 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 December 19, 2017 Signature $ 1,275.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund , GOODRICH SALES INVOICE QUALITY THEATERS ,y � OEC 9 201] Goodrich Quality Theaters Inc. iMU07Gli 594 t DATE DFCE,GiBE 1',.Z I Gcadricb Quality Theaters tnc. 11:7 B OApM00R GRAt3D RAPIDS,M!49512 Phone 616-698-7733 SOLD Carmel Clay Parks&Recreation To Jennifer Gray 317-679-9867 jgray@carmelelayparks.com s PAYMENT.METHOD LOCATION JOB _ ._._.-1................................ _. ' Hamilton 16 1/08/18 SPECIAL SHOW FERDINAND OR COCO . j ORDERED SHIPPED DESCRIPTION ITEM b UNIT PRICE CINE TOTAL :'F':' _ 100 100 CHILD TICKET - .- CHILD .................7.00 4 $700.00 14 .1.4 ADULT TICKET j' ADULT 8.50 $1.19.00 114 114 KID PACKS CONC 4.00 $456.00 f �i ! i 3 } I SUBTOTAL SALES TAX.: TiOTAL AMOUNT DUE1r � (}0im Carmel e Clay Parks&Recreation CHECK REQUEST Date: . 12l18/17 C 1 V 71 D Check payable to: DEC 19 2011 BY: ............ . .................. Name: Goodrich CtualityTheaters Inc. Address: 4417 Broadmoor City,State,Zip:Grand Rabids,MI.49512 Mail check to payee _X Return check to requestor .Check Amount:$1275.00 Date Required:l/8l2 -- Purpose of Check: Field Trip to GoodricKgyality Theaters on 1!8%18 Supporting documentation or invoice(s)MUST be attached. To be paid from: PO#(if applicable) Budget account-GL# 1081-99 Budget Line Description: ,Field Trip Requested by(print):, , __Jennifer Gray Requested by(signature/date): Approved by(print): Approved by(signature/date) Form recreated 3/10/15(Business Services) 4