HomeMy WebLinkAbout197768 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 365308 Page 1 of 1
ONE CIVIC SQUARE PAN USA LLC CHECK AMOUNT: $800.00
CARMEL, INDIANA 46032 3714 SIMS LANE
4, o� BLOOMINGTON IN 47403 CHECK NUMBER: 197768
CHECK DATE: 5126/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 05/06/11 800.00 ADULT CONTRACTORS
17F, 7
MA" Y 1 2011
PanUSA LLC BY:
Application is hereby made by the undersigned CLIENT this day of M atA 2011,
for the purposes of public /private performance with equipment and services described below:
The base fee includes: Musical performances as requested. Pre -event coordination and logistics and
details. Up to (2) hour /s with 4 performers. (Requested additional hours BEYOND 2 hour /s will result in
$50.00 monetary compensation per half hour per member to be negotiated on -site)
-2 Steel Drum Performer /vocalist Purchase
-1 Bass Player /vocalist
-1 Percussionist "PanUSA Quartet" Description
Base Fee: $800.00 P.O. A d P
Deposit due:$0.00 G E j t l�1' 1 6 6 c�
Balance: $800.00 due to PanUSA 24 hrs prior to engagement (see below�udget G�
Additional Expenses: parking will be provided by client Line Desc
C Even, formation Purchaser Date
Approval ,Meagan Decker Please Write name of event DAY contact
PH #317 -698 -0816 Day of#
Mailing Address: Carmel Clay Parks and Rec.
Prairie Trace ESE
14200 N River Rd.
Carmel, IN 46033
Performance Space Address: (must have access to power)
Event Time: (up to 2.0 hours) 5 -7 pm
Pa yment Information
-For the above, the undersigned will pay a base fee of: 800.00
Deposit of ($0.00) will be due within 15 calendar days of receipt of the contract.
Deposit is refundable up to 72 hours of event date.
-Upon acceptance and approval of this application balance, ($800.00) will be due at least 24hrs prior to
fore mentioned `event'.
-In the event of foreseen and unforeseen weather related events payment agreement will remain intact.
(performer /s are to be provided SHADED performance space)
Payment in partial or full shall be made as Check, Money Order or Cash.
Credit Card Payments are also accepted... please contact PanUSA for CC payment details.
This agreement should be signed and submitted, no later than_05 /1 /11_. After this date, staffing/
equiptment /shipping /travel and pricing adjustments may impact this program.
All remittance and payments should be made payable to:
PanUSA LLC
3714 Sims Ln
Bloomington IN 47403
It is understood that the undersigned Client acknowledges and agrees with the Terms and
Conditions accompanying this agreement. It is also understood that an original of this
agreement is legally binding to both parties.
Tom Berich
Authorized Representative (Client) Authorized Representative
'rom Berich -Pan US.A
Electronic Signature Electronic Signature
please sign and return to: panusa @mac.com or fax to 801- 382 -2403
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.
Pan USA LLC Terms
3714 Sims Ln
Bloomington, IN 47403
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/6/11 5/6/11 ESE vendor PT 28480 800.00
Total 800.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Pan USA LLC Allowed 20
3714 Sims Ln
Bloomington, IN 47403
In Sum of
800.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -7 516111 4340800 800.00 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
800.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund