HomeMy WebLinkAbout160545 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361406 Page 1 of 1
ONE CIVIC SQUARE RAINMAKERS
li CHECK AMOUNT: $449.00
ra CARMEL, INDIANA 46032 PO BOX 3633
CARMEL IN 46082 CHECK NUMBER: 160545
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION T
1047 4355300 MEMBERSHIP 449.00 ORGANIZATION MEMBER
Carmel Cla
Parks &Recreation CHECK REQUEST
Date:
Check a able
Name:
Address: u
City, State, Zip cc /V z
Mail check to payee Return check to requestor
Check Amount e Date Required
Check needed for r
Supporting documentation or receipt(s) MUST be attached.
To be paid from
PQ# lk
Budget account GL
Budget Line Description
Requested by (print): I M
9 Zoos
Requested by (signature): BY.
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
r
1
P
Rainmakers Membership Application
Just fill out this application and give it to a Rainmaker representative or you can
send it to: Rainmakers i
P.O. Box 3633
Carmel, IN 46082
Fax: 317 290 -6560
Membership fee— $95 initiation and only $35 per month (auto debited monthly)
or pay $449 for the year.
Nance
title
Compane Name Z MwDh C-r4l+CK ;2 LCh�rj
Address
City )�11/ Y Stare Lip
Email
Phone 17. 5 -6 5 Z-
cell
'lype of business N12 1-f gii
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7 MOY 2 9 2008
Credit Card Information
Visa MasterCard BY•
0 Discover ❑Amex
Li41.S. ITEX Trade
TradG"a¢uum number "Dade acmun, number
I
i
Card bolder name
Company name on card
i
B address
i
Cit
Stare Li
Credit card number
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Expiration dace Security Number (Lm 3 di its on back of card)
Si nature
1 n makers"
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must owkind of service, of price per performed,
unit, ,dates service rendered, by
whom, rates per day, numbar of hours, rate p er hour,
Payee Purchase Order No.
Rainmakers Date Due
P.O. Box 3633
Carmel, IN 46082
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s)) 449.00
5126/08 Membershi Case Lazzara
To #al 449.00
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
ti
oucher No. Warrant No,
Allowed 20
Rainmakers
P.O. Box 3633
Carmel, IN 46082 In Sum of
449.00
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 Membership 4355300 449.00 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
4 -Jun 2008
5ig tuv l ic
449.00 Business anage r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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