HomeMy WebLinkAbout329801 09/10/18 {V' CITY OF CARMEL, INDIANA VENDOR: 372733
® ONE CIVIC SQUARE JASON KING CHECK AMOUNT: $*******100.00*
a CARMEL, INDIANA 46032 141 HARROWGATE DR CHECK NUMBER: 329801
9Mj�rON�p� CARMEL IN 46033 CHECK DATE: 09/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
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DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
/01 50 9Ct D 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
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Signature �J
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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FACILITY USE REQUEST FORM- -_-_ _---------------- _-
Name/Organization: Homeless in Hamilton(partnership of Prevail and Hamilton County Habitat for Humanity)
Point of Contact: Jason King
Address: 141 Harrowgate Dr.
City, State,Zip: Carmel, IN 46033
Home Phone: ( ) Cell Phone: (317) 695-6672
Email Address: jasonking79@gmail.com Fax Number
For Profit Organization: Non-Profit Organization: x Individual:
Day and Date Requested: 9/22/2018
Time Requested: .6:30 a.m.IM to: 11:00 a.m."r•---s(This includes set-up and clean-up time.)
Rehearsal Date: Time: a.m./p.m. to a.m./p.m.
City Facility Requested: Gazebo x Fountain Area Japanese Garden
Palladium Center Green Caucus Room (1/3)_(2/3)_Council Chambers
Special Requests: Electricity x Fountain Restroom x Other
Free public showing of The Pursuit of Happyness
This will launch an awareness campaign regarding the
Purpose: homeless Population of Hamilton county. Number of People Expected: 100-300
Vendors: Yes_ No x (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: 01/22/16
