329404 08/27/18 ��p" CITY OF CARMEL, INDIANA VENDOR: 372720
ONE CIVIC SQUARE CLAIRE HUGHES
`/ CHECK AMOUNT: $*******100.00*
?� CARMEL, INDIANA 46032 1013 SARATOGA CIRCLE CHECK NUMBER: 329404
.;; ®
�'�roti�O' INDIANAPOLIS IN 46280 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
l IN SUM OF $
1013 SA- raa
Ti-) i rAnL
$ /00 -
ON
00 -ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
o 1 &,1 37 9D 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
20
c
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
y N p rovals/Date
bkL2
Rtr' 3k`a; Charlie Driver 61L3 �(
CITY OF CARMEL
, f � Adam Harrington n� ��-�a'Ik 14
, r3",, ��,f REQUEST FOI
FACILITY USE/EVENT REQ
f
=,Name/Organization: Hughes-Siegel
Point of Contact: Claire Hughes
Address:
1013 Saratoga Circle
ityState,Zip: Indianapolis, In 46280
�C , _.
rA - Cell Phone: (317) 698-9751
z Home Phone: (317)698-9751
f Fax Number ( )
' Email Address: claire.hughes.ceh@gmail.com
f+ Non-Profit Organization: Individual:_X
g For Profit Organization:
I Day and Date Requested: Friday August 17th 2018
a , -up and clean-uptime.)
r 5:00 m_a.m-/p.m- to: 10:00 pm_a.m./p.m'. This includes set
Time Requested: _ p
Time: . a.m./p.m•/noon to a.m./p.m./midnight.
F + Rehearsal Date:
C Gazebo X_
City Facility Requested: Fountain Area_ Japanese Garden
�t3 Council Chambers
Palladium Center Green_Caucus Room (1/3)_(2/3)_
S ecial Requests: Electricity_ Fountain Restroom X_ Other
p
i 1 r
Dinner
Number of People Expected:_6
purpose: Group
5
fOd -
Vendors: Yes X_ No_(See Item 5, City of Carmel Facility Use Policy attached
t . ,> City Street Closing: (See Item 9, City of Carmel Facility Use Policy attached)
a't Large or Race Events:
` f
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.
201
Received this day of J