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