185959 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $225.00
CARMEL, INDIANA 46032 JUNGLEJOHN
12106 SOUTHEASTERN AVE CHECK NUMBER: 185959
INDIANAPOLIS IN 46259
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 11242 225.00 ADULT CONTRACTORS
Carmel Clay
Parks Re creation CHECK REQUEST
Date:
Check payable to
Name: a CC r S
Address: Z.l C� Lp G c,s� e lly
City, State, Zip �yZ�, N L� a t) I
Mad check to payee Retumllcheck,to rreg
Check Amount a Date Re u q fired: G q I d
Check needed for ndo r Y P l e C c4 V Q, M 1 f
C GSM Q�
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Budget account GL 3 q o �A GG
Budget Line Description
Requested by (print): C' Y p- t" 1 C `Y roc V)
Requested by (signature):
Approved by (signature of Division Manager): aLa\
on this date u
Form revised 1 -21 -08
S` y Safari Station
121067Soutl a stern Avenue
Indianapolis, --FN 46259
317.662.9003 o
www.sillysafaris.com
CONTACT INFORMATION:
Carmel Clay Parks
Ben Johnson The leader in conservation education
LIVE ANIMAL SHOWS
1235 Central Park Drive East
Carmel, IN 46032 DATE INVOVCE# OFFICIAL USE ONLY:
`311:2!.201:0= c1= 1:242
PHONE 317- 848 -7275
Program Confirmation Additional Comments
PROGRAM DATE TIME AUDIENCE Special Repeat Visit!
Spoke wl Jennifer Hammons c) 410 -8145
614/2010 12:OOPM School Age Amy Baldauf c) 418 -6917
Orchard Park Elem
REFERRED BY ICAd :1
PROGRAM DESCRIPTION QTY RATE AMOUNT
Animal Show Silly Safari Show starring AMAZON JOHN? 1 250.00 250.00
Discount We're giving you a discount! In order to qualify for discount, payment 10.00% -25.00
must be made on the day of show or before.
THANKS FOR HAVING US BACK!
Purcfiass
Description
P.O.�P o
G.L. 0 b y
Bud
lane Desa
Purchas Date �1
U M
DIRECTIONS: Approa a e
I agree to indemnify and hold harmless Silly Safari Shows, Inc., its owners, agents or employees from any and all claims and liability or loss of any nature or any injury(ies)
whatsoever arising out of or relating to activities on behalf of Silly Safari Shows at this event, and including, without limitation, any act of commission or omission on Silly
Safari Shows' part, its agents, contractors, invitees or licensees.
Signature Date
MAKE CHECK PAYABLE TO:SILLY SAFARIS Total: $??5 ®Q
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.
00352689 Silly Safaris Terms
12106 Southeastern Ave
Indianapolis, IN 462.59
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3112110 11242 Alternative Minds Amazon John 6/4110 23372 225.00
Total 225.00
1 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.
00352689 Silly Safaris Allowed 20
12106 Southeastern Ave
Indianapolis, IN 46259
In Sum of
225.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept.
1082 -8 11242 4340800 225.00 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
225.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund