HomeMy WebLinkAbout195839 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 353800 Page 1 of 1
ONE CIVIC SQUARE BEN ARI'S CHECK AMOUNT: $552.50
CARMEL, INDIANA 46032 13875 TRADE CENTER DRIVE
FISHERS IN 46038 CHECK NUMBER: 195839
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 4/15/11 552.50 FIELD TRIPS
Carrel Clay
Parks &Recrea #ion CHECK REQUEST
Date: (I 1 s
d F 'I 1
MAC'
Check payable ta
Name: �xa 4- 4 6 b
Address: I _;g 75 t V P CP.�}�✓
City, State, Zip V 3 Kaf� 6 d 8
Mail check to payee Return check to requester
r
Check Amount Date Required
Check needed for
To be paid from
PO (if applicable)
Budget account GL lU� v; 3 1
3dD
Budget Line Description U� r (\e Id T �,Q
Supporting documentation or receipt(s) MUST be attached.
Requested by (print);
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
MAR 1 2011
Employee I
Please Read Initial felapkene reser va fiofrs
Unless prior arrangements have been made, total ment is due at the end
of your event. Floyment can be made via cas or cash card. No personal
.41
checks accepted.
2. Due to other reservations, additional time cannot be allowed In the
private party roams. Your group may utilize the arcade, restaurant and
outside picnic are,, if
All f ood and beverages must be purchased f rom Ben Ari's with the
Party Planner 3, exception of custom birthday cakes.
4. Cancellation ig required c minimum of 2 weeks in advance f or refund of
deposit.
Name: Package Type: 'Birthday Group Team
Address: Y'hL p
Not -For- Pro Cororate Event
I
Phone �q —09 iL
Date of Party: 0 15 xi E)QY'- Room Time From. T� to
in Group: If applicable, company, arganiYotion or team name:
Menu El Pizza Soft Drinks Child's Name
Other'.
Dessert: Dairy Queen Ice Cream Coke Per Person:
V 10! SHEET Other Costs:
U V) U M t �4�-_P
30
Entertainment: C4 Golf Tokens r Bowling
INVITES X.25 HANK YO� IS X.25 100 TIX X1.00 Sub Total:
Tax:
Total Charge: 5 0
y
Deposit Paid:
Balance Due:
ROOMS NOT AVAILABLE UNTIL SCHEDULED TIME
Signature'. Date:
Food Information: Room Food Time: Coke/Desert Time: Number of Cups.
Number of Plates:
Pizza Toppings:
Other Menu Items:
SOFT DRINKS (indicate of Pitchers): Coke Diet Coke __---Fruit Punch Sprite —Lemonade
13875 TRADE CENTER DRIVE, FISHERS, IN 46038 SR37N 141ST STREET 317-770-5294
i
Z 69 9 0,L L-(I- S.Ijv S U08 dL L:Zo L L go den
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.
Ben Ari's Terms
13875 Trade Center Drive
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s) or bili(s)) PO Amount
3114/11 4115/11 Field Trip PT 4/15111 c?833D 552.50
Total 552.50
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.
Ben Ari's Allowed 20
13875 Trade Center Drive
Fishers, IN 46038
In Sum of$
552.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1081 -7 4115111 4343007 552.50 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
24 -Mar 2011
Signature
552.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund