198268 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 363639 Page 1 of 1
ONE CIVIC SQUARE SNAPPERZ LLC CHECK AMOUNT: $750.00
CARMEL, INDIANA 46032 6002 SLINNYSIDE RD
INDIANAPOLIS IN 46236 CHECK NUMBER: 198268
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 1 750.00 FIELD TRIPS
Carmel e Clay
Parks &Recreation CHECK REQUEST
Date:
fl 162011 DU
Check payable to
e� BY:
Name: Y1P•
Address: U� a �LC1t1v�S C�e R(IPA
City, State, Zip (1(� c mac. (J O��S a 3(.0
Mail check to payee Return check to requestor
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Check Amount Date Required e-
Check needed for
C-c- 0"" \Ux"
To be paid from
PO (if applicable)
Budget account GL
Budget Line Description IZK art
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Q 0. S
Requested by (signature):
Approved by (signature of Division Manager):
on this date L 21 l Ll
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -08)
1Q
Sna erz Family Fun and Sports INVOICE
pp Y p
6002 Sunnyside Road
Indianapolis, IN 46236 Date 4/21/11
317 823 -4327 Invoice 1
Bill To: pr", vl
Carmel Clay Parks and Recreation Attn: Jennifer Hammons A 101
Description Qty Rate Amount
Access to 4 inflatables, 4 story 150 $5.00 $750.00
soft playground and 8 lane cosmic
bowling alley
Purchase
Description
P.O.# 1 g Por®
G.L.
Budget
Vn.) Descr
Purchaser 1 rr.�S r+' +p L�� 1 Subtotal 750.00
Sales Tax 0.00
Total 0.00
Total 750.00
Make all checks payable to Snapperz LLC
Thank you for your business!
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.
363639 Snapperz LLC Terms
6002 Sunnyside Rd
Indianapolis, IN 46236
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/21/11 1 Field trip 6/20/11 28434 750.00
Total 750.00
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.
363639 Snapperz LLC Allowed 20
6002 Sunnyside Rd
Indianapolis, IN 46236
In Sum of
750.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. A.CCT #/TITLE AMOUNT Board Members
Dept
1082 -1 1 4343007 750.00 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
1
Signature
750.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund