HomeMy WebLinkAbout187883 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM
o CARMEL, INDIANA 46032 650 W WASHINGTON S7 CHECK AMOUNT: $159.00
"ti;yo Ea INDIANAPOLIS IN 46204 CHECK NUMBER: 187883
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 124701 159.00 FIELD TRIPS
Carmel •Clay
Parks &Recreation CHECK REQUEST
Date: 01 JuIY2010
Check payable to
Name: Indiana-State Museum
Address: 650 W. Washington Street
City, State, Zip Indianapolis, IN 46204
Mail check to payee x Return check to requestor
Check Amount 159.00 Date Required 29Ju1y2010
Check needed for: Outdoor Explorers Field Trip Prehistoric Times Week
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1082 -3 Budget Line 4343007
Budget Line Description Field Trips
TR �T979w
Requested by (print): Nikeesha Pittman
Requested by (signature): BY:
Approved by (signature of Division Manager):
on this date �~I
INDIANA STATE MUSEUM
GUEST SERVICES
660 W. Washington Street
Indianapolis, IN 46204
(317) 232 -1637
INVOICE
CUSTOMER INVOICE ARRIVAL DATE
NUMBER:. TIME:
CARMEL CLAY PARKS AND RECREATION 124701 07/29/2010 9:00
NIKEESHA PITTMAN AM
1235 CENTRAL PARK DR E LUNCH
CARMEL, IN 46032 12:15
AGENT'S NAME
CARLOTTA MYERS
l :r xr 1
V
a
29 LUNCHROOM 12:15 0.00 0,00
4 STANDARD ENGAGEMENT ADULT 8.50 34.00
25 STANDARD ENGAGEMENT CHILD 5.00 125.00
TOTAL 159.00
PAYMENT 0.00
BALANCE DUE 159.00
JIL0.22010 U
BY:
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
353648 Indiana State Museum Terms
650 W Washington Street
Indianapolis, IN 46204
Invoice j voice Description
Date umber (or note attached invoice($) or bill(s)) PO Amount
7129!10 24701 Outdoor Explorers field trip 7129110 159.00
Total 159.00
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.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of
159.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1082 -3 124701 4343007 159.00 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
15 -Jul 2010
Signature
159.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund