185381 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364132 Page 1 of 1
0 ONE CIVIC SQUARE OVER INFLATED, LLC
CARMEL, INDIANA 46032 9715 KINCAID DRIVE SUITE 800 CHECK AMOUNT: $627.00
FISHERS IN 46037
CHECK NUMBER: 185381
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 052710 627.00 FIELD TRIPS
r:
Carmel c Clay
Par Recrea tion CHECK REQUEST
Date:
Check payable to
Name: FLATS D LL P__
Address: S Y_ n
City, State, Zip :2 q66
Mail check to payee ZQ =R&urncheck to re questor__
Check Amount L�/ Date Required
Check needed for n
I_' h 0
To be paid from J
PQ (if applicable) 2 I
Budget account GL I
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
APIN 2,
Requested by (print): fn enAOYI 'De- (-e r BY:
Requested by (signature).
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
April 28, 2010 INVOICE
BILL TO: SHIP TO:
Accounts Payable Meagan Decker
Carmel Clay Parks 14200 N River Rd
14200 N River Rd Carmel, IN 46033
Carmel, IN 46033
DESCRIPTION AMOUNT
60 kids @$6.S0 each 390
15 pizzas @$10 each 150
60 drinks @.45 each 27
Cosmic 60
FO R S/2
TOTAL BILLED 627
Tax Exempt 0
OTHER
TOTAL DUE 6
DUE UPON RECEIPT OR PER TERMS OF PURCHASE ORDER
REMITTO:
OVER INFLATED, LLC
9715 KINCAID DRIVE, SUITE 800
FISHERS, IN 46037 C I ea
TELEPHONE: 317 578 -7529
EMAIL:
Purchaw Description �Q a�;, Maio
P.O. #I y D- j— P or F
G.L. _i QLA BY
Budget
Line Descr
Purch Date
App ov Date r'
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
Purchase Order No.
Over Inflated, LLC Terms
9715 Kincaid Drive, Suite 800
Fishers, IN 46037
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4128110 5127110 Field trip PT 5127110 23422 627.00
Total 627.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20,
Clerk- Treasurer
Voucher No. Warrant No.
Over Inflated, LLC Allowed 20
9715 Kincaid Drive, Suite 800
Fishers, IN 46037
In Sum of
627.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 5127/10 4343007 627.00 1 hereby certify that the attached invoice(s), 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
5 -May 2010
Signature
627.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund