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324315 04/25/18
CITY OF CARMEL, INDIANA VENDOR: 370550 ® ! ONE CIVIC SQUARE BREAKOUT INDIANAPOLIS CHECK AMOUNT: $**....*175.00* =4; CARMEL, INDIANA 46032 8455 CASTLEWOOD DR CHECK NUMBER: 324315 SUITE A CHECK DATE: 04/25/18 INDIANAPOLIS IN 46250 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 130 175.00 GENERAL PROGRAM SUPPL 1 tt... ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 370550 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Breakout Indianapolis Payee 8455 Castlewood Dr,Suite A Indianapolis, IN 46250 In Sum of$ Purchase Order# 370550 Breakout Indianapolis Terms $ 175.00 8455 Castlewood Dr,Suite A Date Due Indianapolis, IN 46250 ON ACCOUNT OF APPROPRIATION FOR 108-ESE Fund PO#ornvolce Description Dept# INVOICE NO. ACCT#/TITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1081-10 130 4239039 $ 175.00 Board Members 4/17/18 130 Staff Team Training Off Site for 4/17/18 51097 $ 175.00 I 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 $ 175.00 Total $ 175.00 April 18,2018 I hereby certify that the attached invoice(s),or bills)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature -,20_ Accounts Payable Coordinator Clerk-Treasurer Title Dawn Koe per A V11 2_4e From.- Jennifer Hammons Sent:. - Wednesday,April 1.8, 2018 6:16 AM APR.] Zi 2018 To: Dawn Koepper Subject: FW:.New Invoice:#000130 from Breakout Indianapolis By: Dawn; - Here's the updated invoice for the Breakout room for WC staff..training:We had-less people than.originallyplanned for. Thahksl Jennifer Hammons, Site:Supervisor Carmel May P/a�9ryksy�.ryRye�cy[lr�e9�tio, n. 'c's1111��V4&�+V8J7l�r kJ.t.h.'1TI�dA - .. .. AND, ICCRLk7{TEE1' AGENCY y West Cla Elementary School Extended School Enrichment 3495.W 126th Street Carme.I; IN 46032 P 317.698:4966 F.317:733:6501, . JHammons@carmelciayparks.com carmelci marks.com. From: Breakout Indiana osis [mailto:invoicin @messy in s uareu com] p . . . g. g g• q p• . Sent:.Tuesday,April 17,,2018 4:37,PM Toc-Jennifer,Hamm*ons<jhammons@carmejclayparks.com> - �--- Subject: New Invoice:#000130 from-Breakout Indianapolis 0 X Breakout 1 ei I f 1 I.,:a� i New- [n Voice w voice L1 Y:'L� due on April 1.7, 2018 Pay Invoice Carmel Clay Parks 1 Invoice#000130 April 17, 2018 Customer.' Jennifer Hammons ..jhamrYions@cattneiclayparks.corri Official invoice - Invoice Sent:.4%17/18 Game Date: 4/17/18 Tax.Exemption.Number: Payment; D.ebit/Credit-Card: Pay_through,this invoice prior.to due date. , Check:Send check prior to.game date(instructions below) W to• "B re LC'` - rite a check akout Indianapolis, L Mail:check:to: BrQuinn Breakout-ATTN:Q ` Adams 166 Lee St. Lexington, KY, 40508 Online SmartWaiver https://wwwsmartwaiver.coin/vv/55a011080c2de%web/ :Arrival: Please arrive 10-18 minutes before your game time ensure o . . :y u bogin on time. Cancellation'.Policy. _ . . . ALL SALES ARE.FINAL. Ifyou:need,fo move or change your- game day or start time, you may do so up t6.24.hours in._. . advance of your:originally booked.game without penalty. if yo.0 need to cancel.your entire event, I can.only offer game credits.to - tie used at a later date, NOT a refund. We appreciate your business, , Randy Troyer., 2 rtroyer@breakoutgames.com Mo bile.:'(859)203-5340 _ B reakout Team Building -Tax Exempt $175.00. Subtotal : $175.00 .. . akout Int,�ianaaolis Bre I I M=1=171 Y I Z uite A, indianaol 4.n�..:, li1ed Sfates gadams+northindy@bteakoutgames.com - 317=672=6060 ©.201.8 Square,.Inc. Square Privacy.Policy] Security 3 .