Loading...
HomeMy WebLinkAbout324909 05/09/18 %'�q""€� . CITY OF CARMEL, INDIANA VENDOR: 355486 ® ONE CIVIC SQUARE INDIANA ALCOHOL &TOBACCO COMWHECK AMOUNT: $*******150.00* ?� CARMEL, INDIANA 46032 302 W WASHINGTON ST ROOM E114 CHECK NUMBER: 324909 INDIANAPOLIS IN 46204 CHECK DATE: 05/09/18 ��fT.._Gp�' ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4239039 APP 150.00 GENERAL PROGRAM SUPPL ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355486 Allowed 20 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Indiana Alcohol&Tobacco Commission Payee 279 West 300 North Crawfordsville, IN 47933 In Sum of$ Purchase Order# 355486 Indiana Alcohol&Tobacco Commission Terms $ 150.00 279 West 300 North Date Due Crawfordsville, IN 47933 ON ACCOUNT OF APPROPRIATION FOR 109-Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Invoice Description Dept# Invoice Date Number (or note attached invoices)or bill(s)) PO# Amount 1096-40 Application 4239039 $ 150.00 Board Members 4/30/18 Application BeerfWine permit fee for Monon Mixers xx6799 $ 150.00 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 $ 150.00 Total $ 150.00 May 2,2018 1 hereby certify that the attached invoice(s),or bill(s)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 Ca meloC a wf Parks&:Recreation CHECK REQUEST Date: I3 D Ch&k,payable to: :Name: f�r�CD x(10 .:pu�� - O LLC) CO�m I SS) 6:✓1:: : : .�a�� . . . . �1 qq w Address:- DD. City,State,Zipc�S Mail.check to Owe ✓Return check to reques#or . .. :Check Amount: 50. Date Required* .3b Q . .Soo.YL2r Purposeof Check:' g2 �Ul\Vit- 4rm is tD� rA ono .Yh1 ilc�'S Supporting documentation or invoice(s)MUST be attached. To-be paid from: :.Po#(if applicable) Budget aceoun#-GL# �0°�(q .�f:D ,c <l p� D:3:°1 Bud et lne:Descri tion Sv .� g p. � �: �C C��Y'Clvy� P�P�1 S Requested by(print): - : .� 1( 1 C0� . bts✓2yV\Ct: !� Requested by(signature/date): Approved by(print): Saves a a.:�.Q.h Approved by.(signature/date) Il D6 IIAfJI�.� _1I?s � Form recreated-3 Send,deliver,or,mall,to: " t _ BEER]WINE AUTHORITY l TYPE.118 DIS.TRICT1. DISTRIGT4 . f State.Fonn"35494(R8111-15)_ 52422 County Road 17, - 651 S.-Commerce Dr. .. Approvedby Stat@ Board of Accounts,2015 .Bristol;IN 46507 Seymour,-IN 47274 Telephone::(574)264-9480 Telephone:'(812)523-8314 " INSTRUCTIONS: .1. Applicant must complete all requested information: 2. Please type or print cleariy. : 1D353 SIo South Governors Drive 3650 South U.S Hwy41 3. Submit.applicatiori and payment to.the local excise Columbia City,.IN.46725 Vincennes,-IN 47591 Telephone:(260)244-4285' Telephone:(812)-68271292' district office. D IS.TRICT.3:" DISTRICT 8 . . 27.9 West 300 North 6400 East 30th Street Crawfordsville;IN 47933."- "" Indianapolis,IN 46219 Telephone::( )362-8815 :.." Telephone:(317).5414100 STEP_1..."GENERAL INFORMATION Name of applicant applying for permit(organization,club,corporation;individual). TM.Permit"number.(issuedbyATC) Carmel-Clay•Pa*s&Recreation Address of applicant(number'and street city,state;ehd.ZIP code) E-mail address 1235 Central-Park Dr, E.Carmel,•IN 46032 . :"" " 6 reman@carmelclayparks.com Name of pe'rs'on making application" Fax number Emergency contact telephone number :. • Erica Foreman" ('. - .) :. _ :." (.317. ).848-7275. Printed name of contact person of event . Emergency contact telephone number Erica Foreman. :, �"317 843-3861: ." - :STEP-2.-EVENT INFORMATION Beginning day _ Beginning date(month,day,year) Ending day Ending date.(rnonth,.day,year Thursday . . . 06.21:.2018_ • 06.21:2018 :.06.21.:20.18'_' Time of"evenf Starttime :. 8.:00 AM ©"PM End time. " . 10:00." :-. Q AM."0 PM Type or description.-of-event. Monon'Mixer-.Adult,over 21 event atThe:WaterparK. Exact address of event(number and street city,state,,and ZIP,code) - 1195-Central Park-Dr:West Carmel; IN 46.032 j.Map:attached." ..,- STEP,3.':FLOOR PLAN See S!kO 4,Number2 • Page 1 of 2 LEDGEMENT'; STEP 4:ACKNOW In order to quality for this;authority.to serve beer and wine,the following guidelines must be met: 1. There must be a well,defined premises,i.e.building,tent,enclosure,or fenced-in or designated area.. -2. You.mint.have a defined floor,plan.or.diagram.-This is to be drawn on Page 1,Step 3 of this application. If minors are to be;preseht,you must have a defined separation betweenthe bararea and family area.-.(Must be on floor plan.) 3. . -There shall tie N0 carry-out privileges.NO carry-in privileges and NO spirituous beverages'allowed. 4. Each applicant must-designate an individual to be responsible for.theevent and such person shall sign the authority.'. . 5. ANY and ALL persoris.dispensing,or accepting payment for alcoholic beverages MUST POSSESS.a valid ATC.employee permit: 6. The event must meet applicable Indiana State Board of Health.requirements,particularly.with regard to.restroom facilities. 7. If the event is held In a town.park,you must have approval from the town board. 8. 'Legal Hours of dispensing alcoholic beverages:(Prevailing time)- . - . Monday through Saturday_7 AM to 3 AM the following day. . . Sunday:"7 AM'to 3 AM the following day 9. Applicant must file arith the district office at which the event will be held at least five'(5)days prior to the event . 16. The authority must be.posted.in the most conspicuous place at the location of the event.An excise officer or commissioner;forgood cause,has the authority to revoke the authority.during the event. S TEP 5. COMMUNITY CLEARANCE . : 1..Signatur f Sheriff of coup Chief of Poli ;or Town Marshall ofjurisdiction where the event.wll be held a signed day,.year)-- Dat onth, 2. ignature of amayor.pf a event is held-NPort Wayne)_ Date, fined month,day-year) . Note: . ... Please post your approved request in a conspicuous place where the alcoholic beverages are"being dispensed at,the.location. If for any reason this request Is denied,you may be notified either in person or by telephone: swear or affirm under penalties of perjury'that theinformation is true.and accurate: Signature of p rnAtee/'agent(Your signature acknow e t you have read and will abide by the rules and guidelines) Date,signed(month,day,.year) L 2v FOR DISTRICT USE ONLY District number Date.issued:(month,day,•year) Reviewed by Excise Police District.Representative. Ej Approved E Denied .' 1.:;ALL EVENTS ARE-$50.00 PER DAY. BUSINESS CHECKS OR MONEY ORDERS ARE ACCEPTED MADE.OUT TO THE INDIANA ALCOHOL AND:TOBA000 COMMISSION: 2.:SERVING,PAST.MIDNIG.HT,NO LATER THAN 3.AM,:IS:ONE 1 DAY: : :• „ 1.NO RAIN CHECKS ON.ANY:OF THE ABOVE EVENTS. Page2 of 2 .o..� r .r ems° •s � F � - 9 ,te 9 f �+ s , Y; v-. { � s d i , Send,deliver,or mail fo:. BEER/WINE.AUTHORITY./.TYPE 118 - 7 DISTRICT 1. - DISTRICT 4. . State Form 35494(R8'/11-15) 52422 County Road 17 6518.Commerce.Dr. ;p Approved by State,Board of.Accounts;2015 Bristol,-IN 46507 Seynmour,IN 47274 •. Telephone:(574)264-9480 Telephone:(812)'523=8314. INSTRUCTIONS: 1. Applicant'mustcomple'te allrequested infodnation: DISTRICT 2 DISTRICTS' 2.•Please Type orprint clearly. 1353 South Govemors Drive 3650.South US Hwy 41 3: Submit application and.paymenf to the local excise Columbia City,IN 46725 Vincennes,IN 47591 district office., : Telephone:(260)2444285 . Telephone:(812)882-1292 DISTRICT 3 DISTRICT 6 279 West 300 North 6400 East 30th Street Crawfordsville,IN 47933'. . Indianapolis,,IN 46216, Telephone:(765)1 62-8815 Telephone:(3 17)541-4100 STEPA. GENERAL INFORMATION, Name.'of applicantapplying for permit(organization;club,corporation,individual) TM Permit number(Issued byATC) Carmel Glay Parks&Recreation Address of applicant{numtier and street city,state,andZlP.code) E-mail address, .' , . 123.5,C.entral Park Dr.:E..Carmel;JN 46032. . _ eforeman@camielclayparks.com Name of person making application Fax numtier. Emergency.contact telephone number Erica Foreman (. ) . (.317'.,).848=7275. Printed•name of.contact'peison of-eventEmergency'contact telephon e number, . . Erica Foreman. _ . ..317. 84373861. STEP 2.-EVENT INFORMATION. Beginning day .' . Beginning date(month,day year) Ending"day Ending date(month,day,year) Thursday OZ..12:2018:, 07:12.20.18 07.12;2018 Time of event Start time 8:00 (]AM. ❑ PM End time . 10:00 . Q AM'. PM Type or description of event. -Monon Mixer-Adult,.over 21 event At The:Waterpark Exact address of event(number and street city,state,.and.ZIP.code) 119.5 Central Park,Dr West Carmel,,;IN 46032[Map attached: &90'1' FLOOR.PIAN See$1e :4;Number 2 I. Page 1 of.2.. STEP ACKN0INLEDGEMENf 1. In ortler to qualify for this;authority.to serve be and vuine,-the following guidelines must be met: 1. There must be a well.defined premisesj.'e.building,tent,enclosure,orfericed-in or designated area:. . . . . . . .'2. You must have,a defined floorplan.or.diagram. This is to be drawn on Page.'1;Step 3 of this application. If minors are to be.present,you must;have a defined separation between'the bararea and family area. (Must be on floor p/an j 3. There shall be NO carry-out privileges,NO.carry-in privileges and NO spirituous beverages allowed. 4. Each applicant musfdesignate an individual to be responsible for the event and such person shall sign the authority.. 5: ANY and.ALL persons dispensing:or accepting payment for alcoholic beverages MUST POSSESS a valid ATC.employee permit: 6. The event must meet applicable Indiana State Board of Health.requirerrients,particulariy;with i&gard-to.restroom facilities. 7: If the event is held in a towmpark,you must have approval from the town board. . 8. Legal Hoursof dispensing alcoholic beverages:(Prevailing time) Monday through_Saturday_7 AM to.3 AM the following day- Sunday__7 AM:to 3 A the following day. 9. Applicant must file"with`the district office at which the event will'tie held at least five(5)days prior to the event 10..Theauthority must be posted_in the most conspicuous place at the location of the event.An"excise officer or commissioner;for good cause,has'. the authority.to.revoke:the authority-during the event. STEP 3: COMM UNITYCLEi4NC ARE 1..Signatu of.Sheriff of do u ;o Chief of Polic or Town Marshall of jurisdiction where the event.will be held Dates' ned month,day.year) Signature,f the mayor(If a event is held in Fort Wayne) Date signed mon ,day,year). Note: Please post your approved,request in a conspicuous place where the alcoholic beverages are,being dispensed at'the location: If_for any reason this request is denied,'you may be notified either in person or.by telephone: swear or affirm under,penalties of perjury:that th_a information is true.and accurate: Signature o ermittee/agent(Your s'Datare es that you have read and wilt:abide by the rules and.guidelines.) 'Date:signed(month,day,year). . FOR DISTRICT,USE:ONLY District number ' Date:issued(month,day,year) Re4iewed by Excise.Police District.Representative.. . � Approved 0 Denied - : 1.;:ALLEVENTS ARE.$50..00 PER DAY. BUSINESS CHECKS:OR'MONEY.ORDERSAREACCEP.TED MADE.OUT:TOTHE. :. INDIANAALCOHOLAND TOBACCO COMMISSION: 2. :SERVING,PAST MIDNIGHT.NO LATER THAN 3 AM,.IS:ONE.(1)DAY.. 3.' NO RAIN CHECKS ON-ANY OF THE ABOVE EVENTS.' ' Page 2 6f-2 . . k 40 40 • � t "ice � of qbl ' is "l} f l` 4. � ,'�►" � I Ao Pw mc Rw {{ j r. i `L",. . . . Send,deliver,or mall to: .. BEER MINE.AUTHORITY l TYPE.118' DISTRICT 1. DISTRICT4. - State Fofin 35494(R8/11-15) 52422 County Road 17 651 S.Commerce Dr. ..'Approved by State.Board of Accounts;2015 Bristol;IN-46507 Seymour,IN 47274 iu ... .. - -- .. Telephone:(574)264-9480 Telephone:(812):523-8314 INSTRUCTIMS:. .1. Applicant must complete all requested•infohnation. DISTRICT 2 DISTRICT 5 2. Please type orprint clearly. _ 1353.South Governors Drive 3650.South:US H"Al 3: Submit application:and payment to the-local excise' Columb'ia City,IN.46725 Vincennes,IN 47591 Telephone:(260)2444285 Telephone:(812)882 1292' district ofce: D ISTRICT:3: DI,STRI6T 6 279 West 300 North . . . 6400 East 30th Street . . . Crawfordsville,IN 47933." Indianapolis,IN 46219. Telephone:(765)362-8815 Telephone:(317).5411110 _ STEP'I.,GENERAL INFORMATION Name of applicant applying for permit(organiiation,club,corporation,IndMduaq TM.P.ennft number(#ued,byATC) Carmel Clay Parks&Recreation Address'of applicant(number and street,city,.state;and.ZlP.code) E-mail address 1235 Central Park Dr.5. CarmeijN 46032. . eforeman@carmeiclayparks.com Name of person making applicationFax number Emergency contact telephone number . Erica Foreman. ( -:.) 31Z Y 84&7275. :.. printed.name of,contact person:of event - Emergency carte telephone number Erica Foreman.: (.317) 843=3861: STEP 2. EVENT INFORMATION Beginning dayBeginning date(month,.day,year) "_. Ending'day Ending date.(month,:day,'year) :. -Thursday . . 08:02.2018, 08.02.2018. 08.02:20.18 . Time of event Start time . 8:00 . p AM Elm-_ End time 10:00 : Q"AM. p PM :. Type or description of-event. .. Mgpon:Mixer=.Adult bver 21 event.6t TheMaterpark Exact address of event(number and street city,state,and ZIP.code) . . .11.95 Central Park.Dr.'West Carmel; IN 460321.MaP:attached: STEP 3.;FLOOR PLAN(See Ste 4,Number 2 Page 1 of 2• STEP 4. ACKNOWLEDGEMENT.:., In order to qualify for this:authority.to serve beer and wine,the-foilowing.guidelines-must be met: 1. There must be:a Well.defined-premises,i.e.building,tent,enclosure,:orfenced-in.or designated area:. .'2. You must have a defined floor-plan.ordiagram. This is to.be drawn on Pagel,Step 3 of this application: If minors are to be-oresent,you rnust.have a defined separation between the bar-area and family area. (Must be on floor plan) - 3, There shall be NO carry-out privileges,NO.carry-in privileges and NO spirituous beverages allowed. .4: Each applicant must'designate an individual to be responsible for the event'and such person shall sign the.authority.. 5: ANY and.ALL persons dispensing or accepting payment for alcoholic beverages MUST POSSESS a VWW ATC.emptoyee permit.'. . 6. The event must'meet.applicable Indiana State Board of Health.requirements;particularly.with regard-to restroorri facilities. 7: If the event is held in a town park,you must have approval from the town board. 8: Legal Hours of dispensing alcoholic.beverages:(Prevailing time) Monday through.Saturday_7 AM to 3 AM the following day. Sunday=.7 AM to 3 AM the following day g: Applicant-m- file with the.district office at which the event wilhbe held at least five(5)days prior to the event: 16.The.authority riust.be posted in the most conspicuous place at the locatiori of the event.An excise officer or commissioner;for good cause,has. the authority to.revoke the authority-during the event. STEP 6 -COAAMONITY CLEARANCE 1-Sign . of_Shertff.of c or let of.Pol(ce or Town Marshall of jurisdiction where the event:vuill be heldDate sl n ed(ino day,year). nth, Signature f the mayor. a event is Geld in'Fort Wayne). Date si ned(, on h;day,year) Note: Please post your approved'request.in a conspicuous place where the.alcoholic b_overages are.being dispensed at the location: If for any reason this request is denied,you may be notified either in person or:bytelephone, I swear or affirm under'penalties of perjury:that the-information is true-and accurate: Signature permittee/agent(Your signature acknowledges that you have read and will abide by the rules and guidelines.) 'Date signed(month,day,year). FOR'.DISTRIGT;USE ONLY District number Date issued(month,day,year) Reviewed by Excise Police District.Representative.. Q Approved 0'Denied ' 1.:.ALL EVENTS ARE$50.00 PER-DAY BUSINESS CHECKS.OR MONEY.ORDERS ARE ACCEPTED MADE.OUTTO THE " INDIANAALCOHOLAND-TOBACCO-COMMISSION: 2..:SERVING.PAST,MIDNIGHT'NO LATER THAN 3AM,:IS:ONE.(1)DAY:.: 3.: NO RAIN CHECKS ON ANY:OF THE ABOVE EVENTS. : Page 2 of 2 Stu!!a�{J2SE'6�1�Ru� �'a Io ugges,• 0 r _ : 1Ual AWd 1.0 Vol ti� L ( x•;t y��� � � } .� . y , r t yin, F E - 4 �, "�. `!�• :rJ~�c , k , r b ®u®Z Ioqo .IVWW_OL