HomeMy WebLinkAbout322154 02/27/18 (9-
CITY OF CARMEL, INDIANA VENDOR: 372268
ONE CIVIC SQUARE LARANDA COLBERT CHECKAMOUNT: $*******100.00*
CARMEL, INDIANA 46032 5923 w.DIVISION RD. CHECK NUMBER: 322154
TIPTON IN 46072 CHECK DATE: 02/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
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97 aa� ALLOWED 20 IN SUM OF $
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$ lob
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
'50;L3 90 100 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
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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Approvals/Date
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CITY OF CARMEL Charlie DriverAdam
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FACILITY USE REQUEST FORT d.1 m- H Har--ring.-ton-- --- -------- -.. — --
Name/Organization: brea,��Le edj nc4 Vin)of l d
Point of Contact: LOQ anckc, O-Woe(�,
Address: Jc �2,� )OV D✓i�7)i Gn IZ01
City,State, Zip: "TTc ) N u 100:19-
Home
-72Home Phone: (3rn (4 y i -812–2) Cell Phone: (?,1-) U U I -8123
Email Address: �(',�,1,��r� C� brem4+ tjncn O0�1�'UFa�x Number
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For Profit Organization: Non-Profit Organization: _Individual:
Day and Date Requested: Sa�C\Q,t L4 --A 2-0\S
Time Requested: -L,00 (��/p.m. to: 3'GCS a.m. .n :(This includes set-up and clean-up time.)
Rehearsal Date: N A_ Time: a.m./p.m. to a.m./p.m.
City Facility Requested: Gazebo - Fountain Area Japanese Garden
Cerate reen_n � Caucus Room (1/3)_(2/3)_ Council Chambers
Special Requests: Electricity_ Fountain Restroom Other
Purpose:tic 'iak,- )-Gn Number of People Expected: L/06-50 0
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: N A
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: 04/16/2011