187027 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
s` 0 ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC
o CARMEL, INDIANA 46032 JUNGLE JOHN CHECK AMOUNT: $225.00
12106 SOUTHEASTERN AVE CHECK NUMBER: 187027
INDIANAPOLIS IN 46259
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 11423 225.00 ADULT CONTRACTORS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: W b fl PC a g
JUN 1 4 2010
Check payable to
Dame: 3 5 BY
Address: -I V D PC
City, State zip j n d ict r a I JS N q& 255
Mail check to payee Return check to requestor
�G r
Check Amount Z ZS Date Required SNO W ck O (3y
Check needed for a)
To be paid from f�
PO (if applicable) V D 0
Budget account GL _Nw
Budget Line Description (wrl 00 Our\vosk—)
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): —A V
Requested by (signature):
Approved by (signature of Division Manager:
on this date
Form revised 1 -21 -08
Sill Safari Station
12106 Southeastern Avenue
Indianapolis, IN 46259
317.862.9003 0
www.sillysafaris.com
CONTACT INFORMATION:
Carmel Clay Parks
Berl Johnson LIVE leader in conservation education
LIVE: ANIMAL SHOWS
1235 Central Park Drive East
Carmel IN 46032 DATE INVOICE OFFICIAL USE ONLY:
5112/20/0 11423
PHONE 317- 848 -7275
Program Confirmation Additional Comments
OGRAM DATE TIME AUDIENCE Special Repeat Visit!
Theme: WaterAnimals
6/29/2010 1:00 PM Family Spoke wl Amy Baldauf c) 418 -6917
Carmel Middle School
REFERRED BY ICAd
PROGRAM DESCRIPTION QTY RATE AMOUNT
Animal Show Silly Safari Show starring INDIANA JONI! 1 225.00 225.00
WaterAnimals a0 Carmel Middle School
utchase Q 0 J2 N L
p escrlp'+ P JU 1 4 2010
une UesC T
purchases
ApPrOval
DIRECTIONS:
I agree to indemnify and hold harmless Silly Safari Shows, inc., its owners, agents or employees from any and all claims and liability or loss of any nature or any injury(les)
whatsoever arising out of or relating to activities on behalf of Silly Safari Shows at this event, and including, without limitation, any act of commission or omission on Silly
Safari Shows' part, its agents, contractors, invitees or licensees.
Signature Date
Total: $225.00
MAKE CHECK PAYABLE TO:SILLY SAFARIS
r
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.
00352689 Silly Safaris Terms
12106 Southeastern Ave
Indianapolis, W 46259
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6129110 11423 Water Animals 6129110 225.00
Total 225.00
1 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,
00352689 Silly Safaris Allowed 20
12106 Southeastern Ave
Indianapolis, IN 46259
In Sum of
225.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1082 -5 11423 4340800 225.00 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
225.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund