HomeMy WebLinkAbout199480 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 361421 Page 1 of 1
ONE CIVIC SQUARE GREATIMES FAMILY FUN PARK CHECK AMOUNT: $552.40
a CARMEL, INDIANA 46032 5341 ELMWOOD AV
op INDPLS IN 46203 CHECK NUMBER: 199480
CHECK DATE: 7120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/29 552.00 FIELD TRIPS
1� Carmel Clay
Parks &Recreation CHECK REQUEST
Date: L 2
Check payable to
Name: m 1
Address.
City, State, Zip `cZ0 3
Mail check to payee �etum check to requestor
Check Amount 572,0 Q _Date Required Z
Check needed for
To be paid from
PO (if applicable) E W O J
Budget account GL U 3
Budget Line Description 4k t
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): v
I
Requested by (signature).
JUN 3C 201
Approved by (signature of Division Manager):,
on this date V 1�
Form revised 1 -21 -08
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�k Greatimes Family Fun Park Invoice No.
5341 Elmwood Ave.
Indianapolis, IN 46203
(317)780 -0300 Fax (317)781 -6374
INVOIC
Customer Misc
Name Carmel Clay Parks Recreation Date 7/29/2011
Address 1235 Central Park Dr. E Order No.
City Carmel State IN ZIP 46032 Rep
Leader Shavonne Holton FOB
Qty Description Unit Price TOTAL
46 Two Hour armband $12.00 552.00
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SubTotal 552.00
Shipping
Payment Credit Tax Rate(s)
Comments TOTAL 552.00
Name
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If you have any questions about your invoice, please co matt:
Caitlin O'Brien or Bryan Puckett at (317)780 -0300
Payment is due 30 days after invoice date. Thank you for your patronage!
J UN r
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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.
361421 Greatimes Family Fun Park Terms
5341 Elmwood Ave.
Indianapolis, IN 46203
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
7/29/11 7129 Field trip 28447 552.00
Total 552.00
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.
361421 Greatimes Family Fun Park Allowed 20
5341 Elmwood Ave.
Indianapolis, IN 46203
In Sum of
552.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -6 7/29 4343007 552.00 i 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
12 -Jul 2011
Signature
552.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund