HomeMy WebLinkAbout199023 07/06/2011 a CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $196.50
CARMEL, INDIANA 46032 4417 BROADMOOR
GRAND RAPIDS MI 49512 CHECK NUMBER: 199023
CHECK DATE: 71612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 354 196.50 FIELD TRIPS
Carmel 9 Clay
Parks &Recreation CHECK REQUEST
Date: 6/15/11
Check payable to
Name: Goodrich Quality Theaters Hamilton 16 IMAX
Address: 13875 Norell Road
City, State, Zip Noblesville, IN 46060
Mail check to payee X Return check to requestor
Check Amount 196.50 Date Required 7/08/11
Check needed for Hamilton 16 IMAX for Chillville Summer Camp on 7/05/11
To be paid from
PO (if applicable) 00 J- A
Budget account GL 1082 -9 4343007
Budget Line Description Field Trip
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Jennifer Holder
Requested by (signature):
a
Approved by (signature of Division Manager):
on this date
RON
JUN 2
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7- 7- 08) ]BY
i
R SALES INVOICE
Goodrich Quality Theaters Inc INVOICE 354
1 Purchase;�Q� DATE: JUNE 14, 2011
Description_ p IF
Goodrich Quality Theaters Inc C L 00
4417 BROADMOOR P O
GRAND RAPIDS, MI 49512 G.L.
Phone 616- 6 -773 Budget
L y s pest[
F.�
Purchas _1�
SOLD Carmel Clay Parks Dept. pate 1
To Jennifer lolder Approval
I
1411 E. 116' Street
Carmel, IN 46032
I
PAYMENT METHOD I LOCATION JOB
-1
I Hamilton 16 I 11:30AM Showing of Mr. Popper's Penguins
ORDERED SHIPPED DESCRIPTION ITEM UNIT PRICE LINE TOTAL
18 18 Admission to Mr. Popper's Penguins I CHILD 6.25 112.50
12 12 Admission to Mr. Popper's Penguins ADULT 7.00 84.00
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SUBTOTAL
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SALES TAX
TOTAL DUE I $196.50
1 17
JUN 2 g ZO11
BY:
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.
Terms
362202 Goodrich Quality Theatres Inc.
4417 Broadmoor
Grand Rapids, MI 49512
Invoice Invoice Description PO 196.50
Amount
Date Number (or note attached invoice(s) or bill(s))
6/14/11 354 Field trip 7/5/11
Total 196.50
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.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of
196.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1082 -9 354 4343007 196.50 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
28 -Jun 2011
Signature
196.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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