186577 06/09/2010 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
y 'to„ o INDIANAPOLIS IN 46202 CHECK NUMBER: 186577
CHECK DATE: 619/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 3491D 430.00 ADULT CONTRACTORS
�Y
a.
GH'ECK IREQ'U EST
Date: 3 -16 -10
JUN 0 1 1010
Check payable to
Name: Family Time Entertainment u
Address: 960 E Washington St. suite 1 OOB
City, State, Zip Indianapolis, IN 46202
Mail check to payee X Return check to requestor
Check Amount Date Required 612.110
Check needed for: Vendor Payment for Whacky- lympics 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): V leska J. Simmonds
Requested by (signature): k
Approved by (signature of Division Manager):
on this date Yl
FamilyTime Entertainment, .Inc. FED: I D 35-2135781
960 E. Washington Street 317 -635-7770 Main
Suite 100 B 888-752-9109 Toll-free
Indianapolis IN 46202 317-955-3938 Fax
INVOICE INVOICE DATE
Purchase
Description C T f 9�
P.O.
C M
a el Clay Pa' r s Recreation; G.L.
Val Simmo
"Ud
1235 Central Park Drive East Purchaser S Date_
Carmel IN 46032 Approvd �Z I- Date_
DESCRIPTION Location: Carmel Parks 2 Carmel IN Schools Contrabt Amt: $430.00
a Deposit Amt: $0.00
6/21/10
14 039Y 6 21110
Don Miller 2 Whacky-Lympics .Pmt.
Make check to FamilyTime Entertainment...
t FEB 11 Q 1 0 Mail $430 fee to FamilyTime by day of show
BY: $430.00
Now Due
I
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 Amount
Date Number (or note attached invoice(s) or bill(s)) PO
1/25/10 3491D Vacation Station 6/21/10
23300 430.00
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 NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 3491D 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
3 -Jun 2010
Signature
430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund