HomeMy WebLinkAbout327500 07/18/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 370550
ONE CIVIC SQUARE BREAKOUT INDIANAPOLIS CHECKAMOUNT: $*******999.95*
CARMEL, INDIANA 46032 166 LEE ST CHECK NUMBER: 327500
LEXINGTON KY 40508 CHECK DATE: 07/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 136 999.95 FIELD TRIPS
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 370550 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Breakout Indianapolis LLC Payee -
166 Lee St
Lexington._KY 40508 In Sum of$ Purchase Order#
*E Ne dAw dress 370550 Breakout Indianapolis LLC Terms
$ 999.95 166 Lee St Date Due
e, xington KY 40508
ON ACCOUNT OF APPROPRIATION FOR *NewAddress
108-ESE Fund
pO#or Invoice Description
INVOICE NO. ACCT#MTLE AMOUNT
Dept# Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1082-13 136 4343007 $ 999.95 Board Members 6/19/18 136 Lead the Way Field Trip 7/1018 51584 $ 999.95
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
$ 999.95 Total $ 999.95
July 12,2018
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correctand I have audited same in accordance
with IC 5-11-10-1.6
Cost distribution ledger classification if 1PAk&ftPyLJ-V
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
CE.TVF
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Dawn KoepperFrom: Breakout Indianapolis <invoicing@messaging.squareup.com>
Sent: Tuesday, June 19, 2018 2:26 PM 63 ..4.."u .. ....
To: Amanda Gillim
Subject: New Invoice: #000136 from Breakout Indianapolis
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New Invoice
$999.95 due on July 10, 2018
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Pay with a credit or debit card, or in monthly installments.
Carmel Clay Parks
Envo�ice#00Q13 �
June'19; 1.--2 1 --
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Customer
Amanda Gillim
AGillim@cari,neiclayparks.com
............. .. ...... .... . .........
Official Invoice
Invoice Sent: 6/19118
Game Date: 7/10/18
Tax Exemption Number:
Payment:
Debit/Credit Card: Pay through this invoice prior to due date.
Check: Send check prior to game date (instructions below)
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Breakout TTN.,.Quinn Ad ((
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Online SmartWaiver
https:/Iwww.smartwaiver.com/w/55a0l 1080c2de/web/
Arrival:
Please arrive 10-15 minutes before your game time to ensure
you begin on time.
Cancellation Policy:
ALL SALES ARE FINAL. If you need to move or change your
game day or stark time, you may do so up to 24 hours in
advance of your originally booked game without penalty, If you
need to cancel your entire event, I can only offer game credits to
be used at a later date, NOT a refund.
We appreciate your business,
Randy Troyer
rtroyer@breakoutgames.com
Mobile: (859)401-2551
Special Team Building Price x 7 ($142.85 ea.) $999.95
......... ... ... _ __. ....... .........
_. .
Subtotal $999.95
.. ....._. __.._ ....._ .11
Total Dura ; 999495
BreakoutIndianapolis
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