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196356 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1 ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $429.25 a CARMEL, INDIANA 46032 4417 BROADMOOR GRAND RAPIDS MI 49512 CHECK NUMBER: 196356 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343007 341 429.25 FIELD TRIPS m_w M a x�t s �.,r Al It.— 8, r� q1 >r %vs- n• I i Goodrich Quality Theaters Inc INVOICE a 341 DATE: MARCH 30, 2011 Goodrich Quatity Theaters Inc 4417 BROADMOOR GRAND RAPIDS, MI 49512 Purch P. 33 P hone 616-698-7733 616 6 Descriptipn Q L P.O.-#- SOLD Carmel Clay Parks Dept. Po To Jessica Davis d etr i i 4 3 1235 Central Park Drive Line peser� Q Carmel. IN 46032 Purchaser PA roval !]stet w.._......w.._..... w..._........., fat .._.._,__W... PAYMENT METHOD LOCATION JOB 1 lamillon 16 4/15/11 Showinb of RIO ORDERED SHIPPED i DESCRIPTION ITEM UNIT PRICE I LINE TOTAL� 3, 55 55 I Admission to Rio CHILD j 6.25 343.75 9 S Admission to Rio ADULT 9.50 f $5.50 I i i f E E i 1 I 1 I F i SUBTOTAL SALES TAX TOTAL DUE $429.25 D Lit� APR p 4 2011 ��a Carmel ©Clay Parks &Recreation CHECK REQUEST Date: March 29,2011 Check payable to Name: Goodrich Quality Theaters Address: 13825 Norell Road City, State, Zip: Noblesville, IN 46060 x Mail check to payee Return check to requestor Check Amount $413.75 Date Required April 15, 2011 Check needed for Parents Night Out/Vendor Fieldtrip To be paid from PO (if applicable) Budget account GL w x Budget Line Description Fieldtrip/Vendor Invoice(s) and Purchase Order (if requireao MUST be attached. Requested by (print): Jessica Davis Requested by (signature): Jessica Davis° 1 Approved by (signature of Division Manager): on this date Form revised 7 -7 -08 Shared Administrative Forms Staff forms I 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, 362202 Goodrich Quality Theatres Inc. Terms 4417 Broadmoor Grand Rapids, MI 49512 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/30/11 341 Field trip 4115111 28359 429.25 Total 429.25 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. 352202 Goodrich Quality Theatres Inc. Allowed 20 4417 Broadmoor Grand Rapids, MI 49512 In Sum of 429.25 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1081 -11 341 4343007 429.25 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 m v 7 fi L k f Signature 429.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund