185720 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT, INC
CHECK AMOUNT: $430.00
CARMEL, INDIANA 46032 960 E WASHINGTON ST SUITE 1008
INDIANAPOLIS IN 46202 CHECK NUMBER: 185720
SON
CHECK DATE: 5/2612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 3491B 430.00 ADULT CONTRACTORS
Carmel a C
Parks&Pj%3 C HECK (REQUEST
Date: 3 -16 -10
Check payable to
Name: Family Time Entertainment
Address: 960 E Washington St. suite 1008
City, State, Zip Indianapolis, IN 46202
Mail check to payee X Retum check to requestor
Check Amount _V_ >O Date Required 61710
Check needed for: Vendor Payment for Juggling show campers for VS Summer Camp
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1082 -1 Vacation Station Budget Line 4340800
Budget Line Description vendor /program contractors
Requested by (print): Valeska J. Simmonds
Requested by (signature): IVL"I\,—
Approved by (signature of Division Manager):
on this date
9 Famil yTime Entertainment, Inc. FED: I D 35- 2135781
960 -E. Washington Street 317- 635 -7770 Main
Suite 100 -13 888- 752 -9109 Toll -free
FA U 9 NN Ti X-4 I'j Indianapolis IN x46202 317- 955 -3938 Fax
INVOICE INVOICE DATE
1/25110
FOR CONTRACT
Purchase
Description C#_349
P.o" PLpWASE ORDER
Carmel Clay Parks Recreation G.L. 0000000
Valesca Simmons Bu �t
1235 Central Park Drive East "1A 6 Fay. �z-r
Carmel I N 46032 Purchaser `�^w 0 Date
i Appro
DESCRIPTION Location: Carmel Parks 2 Carmel IN Schools Contract Amt: $430.00
1 Day 6 /7/10 6/7/10 Derek Dye 2 Comedy Juggling Show Deposit Amt: $0.00
Pmt.
II 1 Make check to FamilyTime Entertainment
D FEB j ZQf `r` Mail $430 fee to FamilyTime by day of show
l_1$43 0.001-
Now Du'e
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.
00353387 Family Time Entertainment, Inc. Terms
960 E. Washington St., Ste 100 B
Indianapolis, IN 46202
Invoice Invoice Description
Date Number (or note attached invoice 23300 430.00
s) or bill(s)) PO Amount
1125!10 3491 B Derek Dye Juggling Vacation station
Total 430.00
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.
00353387 Family Time Entertainment, Inc. Allowed 20
960 E. Washington St., Ste 100 B
Indianapolis, IN 46202
In Sum of
430.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE N0. ACCT #MTLE AMOUNT Board Members
Dept
1082 -1 3491 B 4340800 430.00 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
20 -May 2010
Signature
430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund