162959 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 360625 Page 1 of 1
ONE CIVIC SQUARE THE ROLLER CAVE
0 1 CARMEL, INDIANA 46032 8734 E 21ST ST CHECK AMOUNT: $1,408.00
INDIANAPOLIS IN 46219
CHECK NUMBER: 162959
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343007 7232008 1,408.00 FIELD TRIPS
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�L7 j ROLLER CAVE AMUSEMENTS
8734 East 2 1 A Street InAiceyo. 7232008
Indianapolis, IN 462
(317) 898-1817 fax (3 17) 898-1826
6T; u5l i i ri Ai
INVOICE
Customer
Name Carmel Clay Parks Rec. Dept. Date 7/23/2008
Address Order No.
City State., ZIP Rep
Phone FOB
Qt
Description Unit Price TOTAL
352 Special Group Rate $1,408.00
25 !Free Counselors $0.00 $0.00
7/23/2008 12
J UL CEIV
ECEIVED
J 2 4 2008
BY:
Sul6f6tal $1,408.
Payment Details Shipping Ha $0.00
0 Cash Taxes State
O Check
0 Credit Card TOT AL $1,408 0
Name
CC Office Use O
Expires
Thanks Again For Choosing The Roller Cave
Have A Great Day!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No. 18876
Terms
Roller Cave Amusements
Date Due
8734 E 21 st Street
Indianapolis, IN 46219
Invoice Invoice Description Amount
Date Number {or note attached invoice(s) or bill(s))
1,408.00
7!23108 7232008 Field trip 7123108
Total 1,408.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20,
Clerk- Treasurer
i
Voucher No. Warrant No.
Roller Cave Amusements Allowed 20
8734 E 21 st Street
Indianapolis, IN 46219
In Sum of$
1,408.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 7232008 4343007 1,408.00 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
31 -Jul 2008
Signature
1,408.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
J