329013 08/17/18 a/ f CITY OF CARMEL, INDIANA VENDOR: 371013
• ONE CIVIC SQUARE FRANK SMITH III CHECK AMOUNT: $*******100.00*
CARMEL, INDIANA 46032 5228 MARK LANE CHECK NUMBER: 329013
INDIANAPOLIS IN 46226 CHECK DATE: 08/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 CENTER GREEN 100.00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
13-1Y CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
- Payee /611013
M C.h Y� 5 � ..�-- Purchase Order No.
ya I Y M arl_ Lane Terms
.lrl c�C1n0.pp��s, 1'J'3 (o Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
U31 9,e C r1reyi Atn7hill 9-25-1y' loo —
Total
--Total /00
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer
.mop mvcc �j p,Em ��I ��A royals/Date
ryoK. 4-f-A-t8 VD
Pe4-.4ryr�,ns Acts
Charlie Driver O r- x'12-(8 GD
CITY OF CARMEL Adam Harrington 0V_ �12�k Aid
FACILITY USE REQUEST FOS G AGI s vl a a+
Name/Organization: �
Point of Contact: TILE
1
Address: 7— 14 A_A_f i �(.0
City,State,Zip:
Home Phone: Cell Phone: ?
Email Address: S J� �/4 �� Fax Number ( h_
For Profit Organization: Non-Profit Organizati n: Individual:
Day and Date Requested: 5 G-�w-j f�`�)
q
Per Frcn(- sr),ApAi
Time Requested: _ a.m. to: ( a.m./ (This includes set-up and clean-up time.)
L�eya.m./P.m.Rehearsal Date: Time: to a.m./p.m.
City Facility Requested: Gazeb — Fountain Area Japanese Garden
� Ipi�'�1P.�
Palladium Center Green Caucus Room (1/3)_(2/3)_Council Chambers
Special Requests: Electricity Fountain Restroom Other
k A'Rft)LQ-, I A Fr a e.+a p U%O(i c, /Food A 01 a i-;vn S CL&/" _t
Purpose: I` 2, Number of People Expected: `
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:
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: Ol/22/�6,—
�g