191360 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $5,000.00
s4� CARMEL, INDIANA 46032 JUNGLE JOHN
12106 SOUTHEASTERN AVE CHECK NUMBER: 191360
INDIANAPOLIS IN 46259
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4359003 18454 5,000.00 HOLIDAY ON THE SQUARE
S
Invoice
October 21, 2010
Invoice To:
Mayor's Office
City of Carmel
One Civic Square
Carmel, IN 46032
Payable To:
Silly Safari Shows, Inc.
12104 Southeastern Avenue
Indianapolis, IN 46259
Project:
North Pole Petting Zoo, Jugglers and Balloon Twisters at Holiday on
the Square Saturday, November 20, 2010 from 4:30 -6:30 p.m.
Rate: $5,000.00 per event
Total Amount Due: $5,000.00
Payment due upon receipt.
�y5y
VOUCH' €R NO. WARRANT NO.
ALLOWED 20
Silly Safari Shows, Inc.
IN SUM OF
12104 Southeastern Avenue
Indianapolis, IN 46259
$5,000.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
18454 Invoice 43- 590.03 $5,000.00 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
Friday, October 22, 2010
M yor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/21/10 Invoice $5,000.00
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
1 20
Clerk- Treasurer