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166592 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362248 Page 1 of 1 ONE CIVIC SQUARE BOUNCE PLANET 0 o CARMEL, INDIANA 46032 1710 E PLEASANT STREET CHECK AMOUNT: $300.00 NOBLESVILLE IN 46060 CHECK NUMBER: 166592 CHECK DATE: 12!10!2008 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMO DESCRIPTION 1046 4343007 1719 300.00 FIELD TRIPS Cap =mbl c CIay Parks &Recreation CHECK REQUEST Date: 1� NO C-o Check payable ta Name: Address: n City, State, Zip Mail check to payee Return check to.requesto Check Amount Date Required Check needed for r To be paid from P0 (it applicable) Q Budget account GL Budget Line Description Supporting documentation or receipt(s) MUST be attached. Requested by (print): 1 Requested by (signature J Approved by (signature of Division Manager): on this date Form revised 1 -21 -08 Bounce Planet l,�,�c�f'laylet 1710 East Pleasant Street, Noblesville, IN 46060 Phone: (317)770 -4333 Website: www.bounceplanet.net Email: info @bounceplanet.net Delivery Location Order No: 01719 Carmel Clay Parks Recreation ESE -Cindy Canada Order Date: November 18, 2008 1235 Central Park Drive East Carmel, IN 46032 Written by: Administrator `Phone: (317)418 -8475 InvNo Name Qty Total R1 Room 1 1 $300.00 Price for 60 kids Start Date Time: Dec 19, 2008 1:00 pm Order subtotal $300.00 End Date Time: Dec 19, 2008 3:00 pm Discount 0.00% $0.00 Taxable Amount $0.00 Sales Tax 7.00 $0.00 Delivery $0.00 Total $300.00 Additional Notes: Amount Paid $0.00 Group of minimum 60 kids from Mohawk Balance Due $300.00 Trails Extended School Enrichment; Maximum 90 kids. Group rate of $5.00 each child- private bounce time. NOV 2 4 7008 Printed on 11/20/2008 11:18 AM ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be property 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. 19603 F Terms Bounce Planet 1710 East Pleasant Street Noblesville, IN 46060 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 300.00 11/18/08 1719 Mohawk Trails Elem 12/19108 Total 300.00 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 20 Clerk Treasurer Voucher No. Warrant No. Bounce Planet Allowed 20 1710 East Pleasant Street Noblesville, IN 46060 In Sum of i 300.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 1719 4343007 300.00 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 25 -Nov 2008 Signature 300.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund