HomeMy WebLinkAbout198581 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
.r'. ONE CIVIC SQUARE INDIANA STATE MUSEUM CHECK AMOUNT: $2,250.00
CARMEL, INDIANA 46032 650 W WASHINGTON ST
INDIANAPOLIS IN 46204 CHECK NUMBER: 198581
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 142132 2,250.00 FIELD TRIPS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: L l'
Check payable to
Name: C f' ���T� V 1 ll)S2VVY1
Address:
City, State, Zip 14 C4 0 oy
Mail check to payee Return check to requestor
Check Amount S 0 Date Required
Check needed for
To be paid from
PO (if applicable)
2��
Budget account GL L C)03
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): C C OAS
Requested by (signature):
Approved by (signature of Divis' n Manager):
on this date
Form revised 1 -21 -08
06/03/2011 10:25 3172342489 INDIANA STATE MUSEUM PAGE 03/05
19
INDIANA STATE MUSEUM
GUEST SERVICES
650 W. Washington Street
Indianapolis, IN 46204
317.232.1637
RESERVATION CONFIRMATION PAGE 2 OF 2
INVOICE
CUSTOMER: ORDER NUMBER: ARRIVAL DATE &TIME:
CREEK SIDE VACTION STATION 142132 07/01/20'11 10:30 AM
JENNIFER HAM11/I LUNCH:
3495 W 126TH ST LUNCHROOM TO BE DETERMINED
CARMEL, IN 46032 AGENT'S NAME;
BONNIE
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24 IMAX AND MUSEUM ADULTS 18.75 450.0
PIRATES OF THE CARIBBEAN 4 OR OTHER IMAX
OVER 1 HOUR
150 IMAX AND MUSEUM CHILDREN 12.00 1,800.00
PIRATES OF THE CARIBBEAN 4 OR OTHER IMAX
OVER 1 HOUR
TOTAL 2,250,00
PAYMENT 0.00
BALANCE DUE 2,250.00
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Purl e r
Description L-
P.O. s P o
G.L. I o�� I
Bu et
Line esot
Purchases C� Date
Appr v at
0
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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.
353648 Indiana State Museum Terms
650 W Washington Street
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/1/11 142132 Creekside Vacation Station 28315 2,250.00
Total 2,250.00
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.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of
2,250.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members
Dept
1082 -01 142132 4343007 2,250.00 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
16 -Jun 2011
Signature
2,250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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