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165051 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 362001 Page 1 of 1 ONE CIVIC SQUARE RUSSELL FARMS CHECK AMOUNT: $375.00 ca. CARMEL, INDIANA 46032 12290 E 191 ST ST so NOBLESVILLE IN 46060 CHECK NUMBER: 165051 CHECK DATE: 1011612008' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4343007 'TOWN MEADOW 375.00 FIELD TRIPS f Carm' ed "c Clay Parks &Recreation CHECK REQUEST Date: Check payable to Name: Address. 1 D City, State, Zip C.3Ut Mail check to payee Return check to requestor Check Amount X� Date Required s Check needed for To be paid from: PO (if applicable) 1 Budget account GL Budget Line Description Supporting documentation or receipt(s) MUST be attached. Requested by (print): IQ Requested b g q y (signature Approved by (signature of Division Manager). on this date 'd�J Form revised 1 -21 -08 Russell Farms 12290 F. 191 st Street E Noblesville, IN 46060 Phone: 317- 773 -9078 vaww.Russell- Farms.com ,2 r Dear Regina Edwards, Thank you for calling and reserving a date to come out to Russell Farms Pumpkin Patch. We have written down that you are scheduled to visit us on October 21, 2008. You will be bringing 75 children, arriving around 12:30PM and staying until 3:30PM. The cost is $5 each for the children and $5 for adults. There is no charge for any employees of the Carmel Clay Park and Recreation Extended School Enrichment Program. The children will be taking home a pie size pumpkin, a pumpkin magnet that they design, and all kinds of information that they learned about agriculture while visiting Russell Farms. We thank you for again for choosing Russell Farms for your field trip destination. Please feel free to contact me at (317)773 -9078 if you have any questions. Total amount due to Russell Farms Pumpkin Patch at time of arrival for 75 children $375.00 Ifyou are bringing 70 children it would equal $350.00 Thank you, Laura Jackson Russell Russell Farms Pumpkin Patch LLC 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. Russell Farms Terms 12290 E 191 st Street Noblesville, IN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/21/08 10121/2008 Field trip Towne Meadows 10/21/08 PO 19383 F 375.00 Total 375.00 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 Voucher No. Warrant No. Russell Farms Allowed 20 12290 E 191st Street Noblesville, IN 46060 In Sum of 375.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 10/21/2008 4343007 375.00 1 hereby certify that the attached invoice(s) or Pw 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 6 -Oct 2008 Signature 375.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund