HomeMy WebLinkAbout199694 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365501 Page 1 of 1
ONE CIVIC SQUARE SUGAR VALLEY
(i ti CHECK AMOUNT: $162.00
CARMEL, INDIANA 46032 1467 EAST SR 67
v o MARSHALL IN 47859 CHECK NUMBER: 199694
CHECK DATE: 7/2012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 162.00 FIELD TRIPS
I o< S 6 _1C v �1 r 1( 1 AL EY CANOE TRIM'S, L D 00 -422 -6638 RENT EN
5
DATE: 10 DEJARTURE TEbIE:
Canoes TURKEY RUN 3 MILE
Kayaks Dock at Cox Ford. Limit 3 Hours SEE
NO ALCOHOL on 3 MILE TRIP
Tubes NARROWS 4 MILE MAP
Extra Persons Dock at Narrows Creekside (by 4 pm) INFO
JACKSON 6 MILE ON BACK
TOTAL RENTAL Dock at Jackson Bride 2:45 or 4:1.5
4 ue Pd JACKSON 10 MILE Equipment
PLUS DEPOSIT Dock at Jackson Bride 2:45 or 4:15 Returned:
UPPER SHADES 12 MILE
(Due Dock at Narrows Creekside (by 4 pm)
I and all persons in my group agree to the following SHADES 15 MILE
1. I agree that canoeina/kayaking /tubing is at my own risk. Dock at Cox Ford (by 6 pm)
2. I will be held liable for damage or loss of equip t. EQUIPMENT RETURN POLICY:
(Canoe /Kayak $500, Tube $40, Paddle $20, life e t $10) 1. Dock` at designated bridge within time limit.
3. All persons in my group will dock at proper pi up bridge 2. E pty paddles, preservers misc. out of boat/tube.
within the time limit stated. Failure to do sow 1 res It in 3. arry ALL equipment to top of steps at pick -up bridge.
loss of deposit plus expenses incurred by SV i reco ering
abandoned or lost equipment and/or canoers. in $5) 4. resent this to SV staff for initial.
we agree to check in equipment per return olicy. Carry preservers to storage area.
4. All persons are ph able to participate. 6. Present this initialed form at office for deposit return.
5. My party is s not ng alcohol and so, have si;ned and agree to Alcohol Policy. Failure to disclose alcohol
or taking o alcoh n mile trip will res t in loss of deposit and other possible fines.
SIGNED: nL
Printed Na r e /Group (if any) ft�" Q,v 01 0410 y q4( REc_ k'.Q
ADDRESS: I� I 1 r I I LCD°• C� �l i :.A U-
r" 7— IZ,-7,7,
eupr V
1 41 17 East SR 47
Marc-hVI, I N 4735
JUN 2bIGH
Purchase
Description
P.O.# PorF
G.L.
Budget,
Line Descr
Purchaser Date
Approval Date
E— Uncio1 &712)-4
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.
Sugar Valley Terms
1467 East SR 47
Marshall, IN 47859
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6116111 6116 Field trip 162.00
Total 162.00
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.
Sugar Valley Allowed 20
1467 East SR 47
Marshall, IN 47859
In Sum of
162.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1 082 -9 6116 4343007 162.00 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
12 -Jul 2011
Signature
162.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund