HomeMy WebLinkAbout332970 12/06/18 CITY OF CARMEL, INDIANA VENDOR: 372975
® ONE CIVIC SQUARE ELIZABETH NONTE CHECK AMOUNT: $*******100.00*
CARMEL, INDIANA 46032 2953 WEATHERSTONE DR CHECK NUMBER: 332970
CARMEL IN 46032 CHECK DATE: 12/06/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
101 5023990 GAZEBO 100.00 OTHER EXPENSES
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.199
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
FI ma�at� lQmi-e- Purchase Order No.
g15,3 WeCL+hers4u-ne- -b,r. Terms
�'.a('fYl 6`j /FA L4CPQ 3 a Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
00+ 5+t1 ao( V / b --
Total
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
Approvals/Date
ilaleryR 9 6V Vo
Charlie Driver 01C Gm
CITY OF CARMEL Adam Harrington V-04
FACILITY USE REQUEST.FORIT's aPpra/a1s �cc� emc.:..
Name/Organization: ,4t'-_11 Z44 jL, p�
Point of Contact: �'7►'Zo � Mon kp--
Address: S3 "e✓'S
City,State,Zip: , .r7A/ Y&03;2.
Home Phone: { ) A4 Cell Phone: (3/7 -5`S"7r
Email Address: Fax Number
For Profit Organization: Non-Profit Organization: Individual: V
Day and Date Requested: 5�.1"Wdelq VCIO /
Time Requested: n Lap.m. to: �+ a.m./i (This includes set-up and clean-up time.)
(,u=
Rehearsal Date: SA 9W Time: �fa.m.& to a.m .
City Facility Requested: Gazebo ✓ Fountain Area r/ Japanese Garden
Palladium Center Green Caucus Room (1/3)_(2/3)_Council Chambers
Special Requests: Electricity Fountain Restroom Other p�
Purpose: J eeleliialy Number of People Expected: N �� Q V
Vendors: Yes No_(See Item 5,City of Carmel Facility Use Policy attached) P4,,rs)
City Street Closing: (See Item 9,City of Carmel Facility Use Policy attached)
Large or Race Events: '
Neighborhood Street Closing(Street(s),Address(es)BIocked)
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 d2-of ,201
Mayor's Office
Revised: 01/22/16