HomeMy WebLinkAbout330410 09/25/18 4+�r C�q�f
�/ CITY OF CARMEL, INDIANA VENDOR: 372800
® ONE CIVIC SQUARE PAM SCHIEFELBEIN CHECK AMOUNT: $*******100.00*
;� =a, CARMEL, INDIANA 46032 630 W CARMEL DR#180 CHECK NUMBER: 330410
gM,�ioN�°` CARMEL IN 46032 CHECK DATE: 09/25/18
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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IN SUM OF $
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ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
)Q 1 - M0\3990 160 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
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U Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
V DeLong,Com Rel OV tk p
CPD
CITY OF CARMEL A Harrington CFD jj1L R-(p'�O rIH
FACILITY USE/EVENT REQUEST FORIVr- - --------
Name/Organization: Avant Healthcare
Point of Contact: ^ Pam Schiefelbei Oc" io --Q)c ce-U4
Address: 630 W.Carmel Dr.,Suite 180
City,State,Zip: Carmel, IN 46032
Home Phone: 1 ) NA Cell Phone:(317) 250-6885
Email Address: Pam schiefelbein@avanthc.com Fax Number ('317) 208-3650
For Profit Organization: XX Non-Profit Organization: Individual:
Day and Date Requested: _Wednesday.September 19.2018
Time Requested: 1:00p.m. to: 7:00p.m.(This includes set-up and clean-up time.)
Rehearsal Date: Time: a.m./p.m./noon to a.m./p.m./midnight.
City Facility Requested: Gazebo_ Fountain Area Japanese Garden
Palladium Center Green XX Caucus Room(1/3)_(2/3)__,_Council Chambers
Special Requests: Electricity Fountain Restroom XX Other
Purpose: Corporate picnic Number of People Expected: 65-70
Vendors: Yes_ No XX (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: NA
Neighborhood Street Closing(Street(s),Address(es)Blocked) NA
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