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HomeMy WebLinkAbout186876 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1 h ONE CIVIC SQUARE INDIANA STATE MUSEUM CHECK AMOUNT: $384.00 CARMEL, INDIANA 46032 650 W WASHINGTON ST INDIANAPOLIS IN 46204 CHECK NUMBER: 186876 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 123706 384.00 FIELD TRIPS CaFmel Clay V� -S Parks &Recreation CHECK REQUEST Date: Check payable to J 1 201 Name: 1 na'k G G. V v M 1 37. Address: b 1 5 City, State, Zip `r)d \c��c„pd1,S LA U a a� Mail check to payee Return check to requestor Check Amount U o Date Required �O l(j Check needed for To be paid from u C� PO (i1 applicable) 1 C� Budget account GL y 3 CC) Budget Line Description Supporting documentation or receipt(s) MUST be attached. Requested by (print): en Requested by (signature): 00 Approved by (signature of Division Manager) J on this date J i7l Form revised 1 -21 -08 IN DIANA STATE MUSEUM GUEST SERVICES 650 W. Washington Street Indianapolls, IN 46204 317.232.1637 RESERVATION CONFIRMATION PAGE 2 OF 2 INVOICE CUSTOMER: ORDE NUMBER: ARRIVAL DATE TIME: CARMEL CLAY PARKS AND RECREATION 123706 07/07/2010 10:00 AM JENNIFER HAMMONS LUNCH: 1235 CENTRAL PARK DR E LUNCHROOM RESERVED 91:30 CARMEL, IN 46032 AGENT'S NAME: BROK 11 111 U 42 LUNCH ROOM 0.00 0.00 SCH OOL LUNCHROOM 07/07/2010 11:30 AM 12 IMAX MUSEUM GROUP ADULT 12.00 144.00 PENDING ]MAX 07/7/2010 10:00 AM 30 IMAX MUSEUM GROUP CHILD 8.00 240.00 PEN DING )MAX 07/7/2010 10:00 AM TOTAL 384.00 PAYMENT 0.00 BALANCE DUE 384.00 Purchase Description P oQ P.O. c G,L. Bud of Line Descr I JUN t� Purchaser Date Date Approval 2 E0 /E0 30vcd Wn3SnH 31ViS VNVIQNI 68bZVEZLZE EB :1.Z 01OZ/Oz /tae 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, 353648 Indiana State Museum Terms 650 W Washington Street Indianapolis, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO 7 Amount 17!10 123706 Alt Minds field trip 7!7!10 23248 3$4.00 Total 384.00 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, 353648 Indiana State Museum Allowed 20 650 W Washington Street Indianapolis, IN 46204 In Sum of 384.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members Dept 1082 -8 123706 4343007 384.00 1 hereby certify that the attached invoice(s), or bills) 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 384.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund