HomeMy WebLinkAbout198262 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $250.00
a CARMEL, INDIANA 46032 JUNGLE JOHN
4 0� Eo 12106 SOUTHEASTERN AVE CHECK NUMBER: 198262
INDIANAPOLIS IN 46259
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 12495 250.00 ADULT CONTRACTORS
Silly Safari Station
12106 Southeastern Avenue
Indianapolis, IN 46259
317.662.9003 0
www.sillysafaris.com
CONTACT INFORMATION: _f
Carmel Clay Parks
Ben Johnson The leader in conservation education
LIVE ANIMAL SHOWS
1235 Central Park Drive East
Carmel, IN 46032 DATE INVOICE OFFICIAL USE ONLY:
5/3/2011 12495
PHONE 317 646 -7275
Program Confirmation Additional Comments
PROGRAM DATE TIME AUDIENCE Special Repeat Visit!
Theme: WaterAnimals
6/15/2011 1:30PM Schl Age Spoke w/ Natalie Love c) 777 -5445
Clay Middle School
5150 East 126th St Carmel 46033
REFERRED BY ICAd
PROGRAM DESCRIPTION QTY RATE AMOUNT
Animal Show Silly Safari Show starring AMAZON JOHN! 1 250.00 250.00
Animal Week Celebration NO SNAKES
Purdue
DescripU�i
P.O.
G.L. 0
Bud get
h d9 Linr Descr
Purchaser U
Approval to
DIRECTIONS:
I agree to indemnify and hold harmless Silly Safari Shows, Inc., its owners, agents or employees from any and all claims and liability or loss of any nature or any injury(ies)
whatsoever arising out of or relating to activities on behalf of Silly Safari Shows at this event, and including, without limitation, any act of commission or omission on Silly
Safari Shows' part, its agents, contractors, invitees or licensees.
Signature Date
Total: $250...00
MAKE CHECK PAYABLE TO:SILLY SAFARIS
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: L)
MAY 19 201
Check payable to
Name: I a y
Address: o so t u v
City, State, Zip Loci LS
Mail check to payee Return check to requestor
Check Amount Date Required a
Check needed form l 1�' ►l� 1
To be paid from I
PO (if applicable)
Budget account GL
Budget Line Description
v
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): U "`O
V
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -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.
00352689 Silly Safaris Terms
12106 Southeastern Ave
Indianapolis, IN 46259
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/3/11 12495 Amazon John Vacation Station 6/15/11 250.00
Total 250.00
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.
00352689 Silly Safaris Allowed 20
12106 Southeastern Ave
Indianapolis, IN 46259
In Sum of
250.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 12495 4340800 250.00 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
2 -Jun 2011
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund