HomeMy WebLinkAbout198497 06/22/2011 a,\,f CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT, INC CHECK AMOUNT: $230.00
CARMEL, INDIANA 46032 8485 W WASHINGTON STREET SUITE #9
INDIANAPOLIS IN 46231 CHECK NUMBER: 198497
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 3848 230.00 ADULT CONTRACTORS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: Z
Check payable to
Name: 1'n d V 71WIL E04f- n" -1i
Address: LA LVa k W� �S+ l
City, State, Zip 96 23I
Mail check to payee Return check to requestor
Check Amount U Date Re uir -7/z(
Check needed for sy e( g ►'LOW
To be paid from
PO (if applicable)
Budget account GL 0 62 6�)
Budget Line Description r✓ f-! YY
Supporting documentation or receipt(s) MUST be attached. A4
4
0 1/
Requested by (print): 0 .Y1 GIN
i
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
FamilyTime Entertainment, Inc. FED: I D 35- 2135781
8485 W Washington Street 317 635 -7770 Main
Suite #9 317- 850 -1511 Cell
FAQ 1®.` Ti 1rI J� Indianapolis IN 46231 317- 955 -3938 Fax
H '1 1 L' 1L1 F 'I
AALMIRV W:IL_A INVOICE INVOICE DATE
FOR CONTRACT
#'3'84'8"
F PURCHASE ORDER
r.
Carmel Clay Parks Recreation 0000000
Megan Decker ,F,
5150 East 126th Street
Carmel IN 46033
DESCRIPTION Location: Clay Middle School Carmel Parks Contract Amt: $230.00
1 Day- 7/6/11 7/6/1'1 Ed Ferrer SNAKES ALIVE Deposit Amt: $0.00
Pmt.
Make check to FamilyTime Entertainment mail
to FamilyTime by 07/06/2011 OR give fee check
to Ed Ferrer Show $230:00
Now Due
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.
00353387 Family Time Entertainment, Inc. Terms
8485 W Washington Street, Ste 9
Indianapolis, IN 46231
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/13/11 3848 Program 7/6/11 Clay Middle School 28465 230.00
Total 230.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
00353387 Family Time Entertainment, Inc. Allowed 20
8485 W Washington Street, Ste 9
Indianapolis, IN 46231
In Sum of
230.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #FrITLE AMOUNT Board Members
Dept
1082 -1 3848 4340800 230.00 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
16 -Jun 2011
Amnyo
Signature
230.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund