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186484 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 363111 Page 1 of 1 ONE CIVIC SQUARE PUMP IT UP CHECK AMOUNT: $165.00 CARMEL, INDIANA 46032 5777 DECATUR BLVD, SUITE D INDIANAPOLIS IN 46241 CHECK NUMBER: 186484 CHECK DATE: 6/912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 041910 165.00 FIELD TRIPS Carmel e Clay Parks& Recreation CHECK REQUEST Date: I I JUN 0 Check payable to: Name: Address: City, State, Zip A k C;Nnc, 4 (P Mail check to payee Return check to requestor 00 Check Amount: Date Required: Check needed for V-) n C, V\ Supporting documentation or receipt(s) MUST be attached To be paid from: PO4 Budget account GL do Budget Line Description j l t Requested by (print): �Acm Requested by (signature): Approved by (signature of Division Manager): on this date 9 Form revised 1-21-08 Apr 19 10 12:23p Plum 3178211551 p.1 Invoice April 19, 2010 JUN 0 1 2010 Pump It Up:..... 5777 Decatur Boulevard gags Description Indianapolis, In. 46241 P.O. >t ia'�`� Po F a.L I OX t i C�— Bud get Line Attn: Jennifer ham Purchas� imons Approve -f� Pump It Up Fieldtrip $165.00 for twenty five $6.25 for each additional guest Balance 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. 363111 Pump It Up Terms 5777 Decatur Blvd Suite D Indianapolis, IN 46241 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4119110 4/19/10 Field trip 23251 165.00 Total 165.00 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. 363111 Pump It Up Allowed 20 5777 Decatur Blvd Suite D Indianapolis, IN 46241 In Sum of 165.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO #or INVOICE NO. ACCT #/TITL AMOUNT Board Members Dept 1082 -8 4119110 4343007 165.00 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 C% Signature 165.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund