186803 06/23/2010 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: 186803
CHECK DATE: 6123/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 3491F 430.00 ADULT CONTRACTORS
U
CHECK REQUEST
Date: 3 -16 -10
JUN t 1 �ni0
Check payable to
Name: Family Time Entertainment
Address: 960 E Washington St. suite 100B
City, State, Zip Indianapolis, IN 46202
Mail check to payee X Retum check to requestor
Check Amount y �d. Date Required 7/12110
Check needed for: Vendor Payment Michael Perry story show 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��
s
Requested by (print): Valeska J. Simmonds
Requested by (signature):
Approved by (signature of Division Manager):
on this date f 0
FamilyTime Entertainment, Inc. FED: I D 35- 2135781
960 E. Washington Street 317- 635 -7770 Main
Suite 100 B 888 -752 -9109 Toll -free
m m axTi i I{ Indianapolis IN 46202 317 -955 -3938 Fax
INVOICE INVOICE DATE
1/25/10
Purchase FOR CONTRACT
Description ,v 3491 e
P.O. P ASE ORDER
Carmel Clay Parks Recreation 1 G.L. h a� rot Cp# 0 000000
Valesca Simmons Budget
use esa �c�s c� y
1235 Central Park Drive East I pia I Al v��
Carmel IN 46032 Purchaser p te
DESCRIPTION Location: Carmel Parks 2 Carmel IN Schools Cu
D.
1 Day 7112110 7112110 Michael Perry 2 WSG Stories about Knights Pr
ff
gg Make check to FamilyTime Entertainment
2 o1a Mail $430 fee to FamilyTime by day of show..:.
NOW vucl
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(s) or bill(s)) PO Amount
1125110 3491 F Vacation Station 7112110 23300 430.00
Total I 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
1 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 3491 F 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
17 -Jun 2010
Signature
430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund