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Home My WebLink About197611 05/26/2011 a CITY OF CARMEL, INDIANA VENDOR: 365306 Page 1 of 1 ONE CIVIC SQUARE DAVE BUSTERS CARMEL, INDIANA 46032 8350 CASTLETON CORNER CHECK AMOUNT: $175.00 INDIANAPOLIS IN 46250 CHECK NUMBER: 197611 QOM CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4343007 2149 175.00 FIELD TRIPS Carmel o Clay Parks &Recreation CHECK REQUEST Date: 4/20/11 SAY 16 2011 Check payable to Name: Dave Buster's Address: 8350 Castleton Comer Drive City, State, Zip Indianapolis, IN 46250 Mail check to payee X Return check to requestor Check Amount 175.00 Date Required Check needed for Dave Duster's for Chillville Summer Cam on 5/31/11 To be paid from PO (if applicable) Budget account GL [0 Budget Line Description Field Trip lnvoice(s) and Purchase Order (if required) MUST be attached. Requested by (print): Jennifer Holder Requested by (signature): Approved by (signature of Division Manager): on this date Form revised 7 -7 -08 Shared I Administrative Forms Staff forms I Check Request (rev 7 -7 -08) t Carmel Clay Parks Recreation Dave &Buster's Carmel Clay Parks Recreation Jennifer Holder Special Event Contract Event Date: 05/31 /2011 11:00 AM 8350 Castleton Corner Drive V Booking Control: 130761331381A1396648139 Indianapolis, IN 46250 -3577 y Invoice 2149 Phone: 317.572.2722 Created Date: 04/13/2011 01:23:04 PM Fax: 317.567.2372 (Central Time) Page: 1 of 4 Account: Carmel Clay Parks Recreation Sales Person: Cristi Downing Contact: Jennifer Holder Sales Person 317.572.2722 Telephone: Address: 1411 E. 116th St. Booking Status: Penciled In Carmel, IN 46032 Phone: 317- 679 9867,317- 698 -0816 Fax: Email: jholder @carmelclayparks.com Event Date Time I Event Area Event Setu ATT GTD Tue, 5/31/201 11:00 AM 12:30 PM I Retail No Buffet No Setup 25 Setup Notes Menu GROUP WILL PAY BALANCE IN FULL THE DAY OF THE Notes EVENT WITH A COMPANY CHECK. Event host is aware that a CREDIT CARD and signed contract are required before an event can take place. The remaining balance is Entertainment Notes due in its entirety at the conclusion of the event. No Buffet 11:00 AM 12:30 PM Retail 25 Power Cards (30 chips per card) $5.00 per Card Beverage 25 Power Cards Activation Fee (Includes 10 bonus chips per card) $2.00 per Card Purchase Description P P.O. P or G.L. N' Kr- 6 Budget t Lind eser 1 tl 'I t Purchaser-1,4L)[ Date 6 4 17 4 Approv Date ►a� i FLAY 6 2011 BY: Carmel Clay Parks Recreation Dave &Buster's Carmel Clay Parks Recreation f q Jennifer Holder Special Event Contract j I Event Date: 05/31/2011 11:00 AM 8350 Castleton Corner Drive Booking Control: 130761331381AB96648139 Indianapolis, IN 46250 -3577 j Invoice 4: 2149 Phone: 317.572.2722 A Created Date: 04/13/2011 01:23:04 PM Fax: 317.567.2372 (Central Time) Page: 2 of 4 SUMMARY OF CHARGES Subtotal Amusements 25 Power Cards (30 chips per card) $5.00 Card $125.00 25 Power Cards Activation Fee (includes 10 bonus chips per card) $2.00 Card $50.00 Area Rental $0.00 Subtotal: $175.00 Less Deposits: $0.00 Subtotal: $175.00 Tax: $0.00 Gratuity: $0.00 Balance Due: $175.00 7 C Y Y n 2011 BY 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. Terms Dave Busters 8350 Castleton Corner Drive Indianapolis, IN 46250 -3577 Invoice Invoice Description Date or note attached invoice(s) or bill(s)) PO Amount Number 5131111 2149 Field trip 5131111 28436 175.00 Total 175.00 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 20_ Clerk- Treasurer Voucher No. Warrant No. Dave Busters Allowed 20 8350 Castleton Corner Drive Indianapolis, IN 46250 -3577 In Sum of 175.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. 4CCT #/TITLE AMOUNT Board Members Dept 108 -9 2149 4343007 175.00 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 19 -May 2011 Signature 175.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund