187796 07/21/2010 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 100B
a INDIANAPOLIS IN 46202 CHECK NUMBER: 187796
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 3491H 430.00 ADULT CONTRACTORS
r
-7CP
and (c) CAP
J
NCH ECK REQUEST
Date: 3 -16 -10 IRV ��y
JUN 2 J 2010
Check payable to
BY
Name: Family Time Entertainment
Address: 960 E Washington St. suite 100B
City, State, Zip Indianapolis, IN 46202
Mail check to payee X Return check to requestor
Check Amount Date Required 7126110
Check needed for: Vendor Payment for Water 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
Requested by (print): Valeska I Simmonds
Requested by (signature):
Approved by (signature of Division Manager):
IX
on this date `1'( v
FamilyTime Entertainment, Inc. FED: I D 35- 2135781
960 E. Washington Street 317 635 7770 Main
Suite 100 B 888- 752 -9109 Toll. -free
Indianapolis IN 46202 317 -955 -3938 Fax
T INVOICE INVOICE DATE
9125/10.
Purchase FOR CONTRACT
Description \10. A 34W h
�7: P.O. C HASE ORDER
Carmel Clay Parks Recreation ct "�iD t�o'_y3yo�pd QjW 000
Budget
Valesca Simmons Ccn
1235 Central Park Drive East Purchaser Date b� 10
Carmel IN 46032 Approve Dat
DESCRIPTION Location: Carmel Parks 2 Carmel IN Schools Contract Amt: $430.00
1 Day 7126/10 7126110 Jim Austin 2 WATER SHOWS Deposit Amt: $0.00 Pmt.
Make check to FamilyTime Entertainment I
Mail $430 fee to FamilyTime by day of show J LD
A�l
$430.00
111< Now Due
I---------................................................................................................
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 H Water shows 7126!10 23300 430.00
Total 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
20_
Clerk- Treasurer
Voucher No. Warrant No.
00353387 Family Time Entertainment, Inc. Allowed 20
960 E. Washington St., Ste 100 6
Indianapolis, IN 46202
In Sum of
430.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1082 -1 3491 H 4340800 430.00 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
15 -Jul 2010
Signature
430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund