HomeMy WebLinkAbout198619 06/22/2011 CITY OF CARMEL, INDIANA VENDOR 355022 Page 1 of 1
ONE CIVIC SQUARE LASER FLASH INC
•i CHECK AMOUNT: $1,450.00
o CARMEL, INDIANA 46032 sr L I AVE SW
cnR 46032 CHECK NUMBER: 198619
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 111 1,450.00 FIELD TRIPS
,&set oFLash, 2nc Invoice
617 Third Avenue Sw
Carmel, IN 46032 Date Invoice
1 11/16/2010 1 111
Bill To
Purchase
Carmel Clay Parks Description
1235 Central Park East P Lc��z (O Po
Carmel, Indiana 46032 Fdayof G.L. Rudget Lin, Descr Purchaser te Apprte ue Date 07/08/2011
Description Qty Rate Amount
4 -hour exclusive starting at 11:00 a.m. 1,450.00 1,450.00
includes: all the laser tag you can play
1,000 arcade tokens
fountain drinks
Sales Tax (9.0 $0.00
Total $1,450.00
Payments /Credits $0.00
Balance Due $1,450.00
Phone Fax E -mail Web Site
317.571.1677 317.571.1668 info @laser- flash.com www.laser flash.com
Carmel Clay
Parks& Recreation CHECK REQUEST
Dale.
Check payable to
Name. r�
Address hid Ue n k IP2I C
City, State, Zip m t V`' f II j 40 2a
V Mail check to payee Return check to requestor
Check Amount 1�h Q0 Date Required I
Check needed for ash
To be paid from
PO (if applicable) ow l C:
Budget account GL 7 j
Budget Line Description etd
Supporting documentation or receipt(s) MUST be attached
Requested by (print) v
Requested by (signature)
Approved by (signature of Division Manager),
on this dat
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.
355022 Laser Flash, Inc. Terms
617 Third Avenue SW
Carmel, IN 46032
Invoice Invoice Description
Date Number
or note attached invoice(s) or bill(s)) PO Amount
718/11 111 Field trip 7/8/11 Clay vacation station
28468 1,45000
Total 1,450.00
I 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
355022 Laser Flash, Inc. Allowed 20
617 Third Avenue SW
Carmel, IN 46032
In Sum of
1,450.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO CCT #ITITL AMOUNT Board Members
Dept ept#
1082 -1 111 4343007 1,450.00 I 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 -Jun 2011
-&jam
Signature
1,450.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1
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