166133 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 361103 Page 1 of 1
ONE CIVIC SQUARE BOUNCE ZONE CHECK AMOUNT: $650.00
CARMEL, INDIANA 46032 14701 CUMBERLAND RD SUITE 500
4 off NOBLESVILLE IN 46060 CHECK NUMBER: 166133
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM A MOUNT DESCRIPTION
1046 4343007 12/03/08 650.00 FIELD TRIPS
CUM61 Cla}/
Parks &Recreation CHECK REQUEST
Date: 2 cc.
Check payable to
Name: ,bb un �t ont
Address: 1 l �b) CuMherbad 9d
City, State, Zip KI 0 )9�t3\f� �kt jN y(oQC()
Mail check to payee Return check to requestor
Check Amount (��J Date Required ��ec 3Y-d, IS` ylt dow O T
t ViS�t
Check needed for r I e ld T 1 p-
To be paid from
PO (if applicable)
Budget account GL O '1� �1�y Co g
Budget Line Description J
Supporting documentation or receipt(s) MUST be attached. NOV 1 2 2008
rr
Requested by (print): t�•
Requested by (signature):
i
Approved by (signature of Division Manager):
I
on this date 1 t 1 U
Form revised 1 -21 -08
•a
INVOICE
Smoky Row Field Trip 12/03/08
80 Children 2 hours of bounce time $650.00
(Full Facility Rental) 1:30pm- 3:30pm
Please make check payable to BounceZone.
Thank You.
F 008 VP,
14701 Cumberland Road, fume Soo Noblesville, IN 46o60
317 -770- 8480 www.GoDounceZone.com
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. 19596 F
361103 Bounce Zone Terms
14701 Cumberland Rd., Ste 500
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1213108 12103/08 Smoky Row Field Trip 12/03/08 650.00
Total 650.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
,20
Clerk- Treasurer
Voucher No. Warrant No.
361103 Bounce Zone Allowed 20
14701 Cumberland Rd., Ste 500
Noblesville, IN 46060
In Sum of
650.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1046 12/03/08 4343007 650.00 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
18 -Nov 2008
Signature
650.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund