HomeMy WebLinkAbout330405 09/25/18 ®y
CITY OF CARMEL, INDIANA VENDOR: 371973
1 ONE CIVIC SQUARE NORTHERN MIDWEST ZNA CHECK AMOUNT: $*******100.00*
?� CARMEL, INDIANA 46032 1548 TANGLEWOOD DRIVE CHECK NUMBER: 330405
9��rON�` ATT:RICHARD THOMAS CHECK DATE: 09/25/18
A_C�N6
LAFAYETTEIN 47905
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
qv R dkord, T(-ioTa s J ` IN SUM OF$
L;a7�N e,++e. i m 4-n R 05
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
502090 /(90 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
J epa 20 100'
C '
USignatur
D 1�rec n-
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
J Approvals/Date
Nancy Heck (Orl
CITY OF CARMEL Charlie Driver III- 4 - 1—)
FACILITY USE REQUEST FORAclam Harrington
Name/Organization:
Point of Contact: &MAID
Address: I J5`G 00
City,State,Zip: L^ E�ETE
Cell Phone:
Home Phone: ( 6 447,Solo
Email Address: r �`� qq rS � Fax Number 1 ��✓�
For Profit Organization: Non-Profit Organization: , Individual:
Day and Date Requested: —n*V 56PT- Ito 1 9018
Time Requested: a.m.> .. to: to p.m. (This includes set-up and clean-up time.)
Rehearsal Date: Time: ----a.m./p.m. to --- a.m./p.m.
City Facility Requested: Gazebo Fountain Area Japanese Garden
Palladium Center Green Caucus Room (1/3)_(2/3)_Council Chambers
Special Requests: Electricity Fountain Restroom Other
Purpose: Ka l <S V�O Vy Number of People Expected: Zoo
Vendors: Yes. V No_(See Item 5, City of Carmel Facility Use Policy attached)
City Street ClosiAg: (See Item 9, City of Carmel Facility Use Policy attached)
Large or Race Events:
Neighborhood Street Closing(Street(s),Address(es)Blocked) /lf�
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