196355 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
0 ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $654.50
CARMEL, INDIANA 46032 4417 BROADMOOR
GRAND RAPIDS MI 49512 CHECK NUMBER: 196355
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 339 654.50 FIELD TRIPS
Carmel c Clay
Parks &Recr eation CHECK REQUEST
Date: Z f a��.�, tl N 8 TO
MAID 2 3 1011
Check payable to Bye ..a
Name:
Address: 4` 1�.� y�
City, State, Zip
Mail check to payee Return check to requestor
Check Amount 6 S d Date Required Z�� 1 -A
Check needed for
To be paid from
PO (if applicable) GOB VA�°l
Budget account GL b f' )00 1
Budget Line Description I SL
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): 1
Requested by (signaturey
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
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Goodrich Quality Theaters Inc INVOICE 339
DATE: MARCH 21, 2011
Goodrich Quality Theaters Inc
purebase
4417 BROADMOOR
GRAND RAPIDS, MI 49512 l_ P
Phone 616.698 -7733 P.O.!
e
Ta rp Carmel Clay Parks Rcpt. Vur►e
Natalie Love i rltw 4 Datee
1235 Central Park Drive
Carmel, IN 46032
PAYMENT METHOD LOCATION JOB
1lamilton 16 4/22/11 7:001 RIO
ORDERED SHIPPED i DESCRIPTION ITEM I UNIT PRICE I LINE TOTAL
64 64 Admission to Rio CHILD 6.25 400.00
11 11 Admission to Rio ADULT 9.50 104.50
75 75 Kid's Concession Packs KID 2.00 150.00
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1 17' 7
MAR 2 3 -011
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SUBTOTAL i
SALES TAX
TOTAL DUE $654.50
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.
362202 Goodrich Quality Theatres Inc. Terms
4417 Broadmoor
Grand Rapids, MI 49512
Invoice Invoice Description
Date dumber (or note attached invoice(s) or bill(s)) PO Amount
3121111 339 Field trip 4122(11 28335 654.50
Total Is 654.50
1 hereby certify that the attached invoice(s), or bills) 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.
362202 Goodrich Quality Theatres Inc. A[lowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of
654.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1081 -6 339 4343007 654.50 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
7 -Apr 2011
'PJ yry� rn o h
Signature
654.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund