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192625 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 353563 Page 1 of 1 ONE CIVIC SQUARE CLOWNS, ETC CHECK AMOUNT: $160.00 CARMEL, INDIANA 46032 3588 TAHOE ROAD CARMEL IN 46033 CHECK NUMBER: 192625 CHECK DATE: 12110!2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 12231OWB 160.00 ADULT CONTRACTORS l Purchase Q^ Description P P.O. G.L B l ue Descr� Purchaser Dat Approval -Date November 9, 2010 Amy Baldauf w p Extended School Enrichment Carmel. Clay Parks Fax: 573 -5254 e- mail: abaldauf@carmelcla.yparks.com INVOICE: 122710 WB December 27, 2010 9:00 11:00 1 clown making balloon Woodbrook Elem. sculptures 431.1 E. 116" St. TOTAL: $160.00 59 C/O �o G o 0 I Please remit payment to Clowns, Etc. 3588 Tahoe Road, Carmel IN 46033 Thank you for calling Clowns, Etc. with your entertainment needs. If we can be of any further assistance, please contact us at 31.7- 848 -1300. Remember, your fun is our pleasure. II NOV 1 0 1010 EI BY:........................ Carrel Clay Parks &Recreate ©n CHECK REQUEST Date: 11/9/10 Check Payable to Name: Clowns Etc Address: 3588 Tahoe Road City, State, Zip Carmel IN 46033 Mail check to payee X Return check to requestor Check Amount 160.00 Date Required 12/24/10 Check needed for Balloon Artist to Woodbrook for SOC on 12/27/10 To be paid from PO (if applicable) F- 00 D 1 Budget account GL 4340800 Budget Line Description Program Contractors n Ta fF� I I I(}: Invoice(s) and Purchase Order (if required) MUST be attached. NOV 1 Q' Requested by (print): Amy Baldauf Requested by (signature): Approved by (signature of Division Manager): on this date 1 Form revised 7 -7 -08 Shared I Administrative I Forms I Staff forms! Check Request (rev 7 -7 -08) 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. 353563 Clowns, Etc. Terms 3588 Tahoe Rd Carmel, IN 46033 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1119110 122710WB Balloon sculptures WB 12/27/10 24079 160.00 Schools out cam Total 160.00 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. 353563 Clowns, Etc, Allowed 20 3588 Tahoe Rd Carmel, IN 46033 In Sum of 160.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO4 or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 12271 OWB 4340800 160.00 1 hereby certify that the attached invcice(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 2 -Dec 2010 Signature 160.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund