166681 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
j ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC
CARMEL, INDIANA 46032 4417 BROADMOOR CHECK AMOUNT: $435.00
GRAND RAPIDS MI 49512
CHECK NUMBER: 166681
CHECK DATE: 12/10/2008
DEPARTMENT ACCOUNT PO NUMBER INV OICE N UMBER AMOUNT DESCRIPTION
1046 4343007 244 435.00 FIELD TRIPS
f
Carmel e Clay
Parks &Recreation CHECK REQUEST
Date: 18November2008 CF T 2 4
F
NOV 2Q08
Check payable to BY=- T
Name: ewcd ride oua i ihj 7 Inc-
Address: 13825 Norell Road
City, State, Zip Noblesville, IN 46060
Mail check to payee x Ret n check to requestor
Check Amount 435 Date Required 18December2008
Check needed for IMAX Tickets
Supporting documentation or receipt(s) MUST be attached.
To be paid from 1(�,
PO#
Budget account GL L�� �L�
Budget Line Description ?I
Requested by (print): Nikeesha Pittman S 1 v I J
Requested by (signature)
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
SALES INVOICE
Goodrich Quality Theaters Inc INVOICE 244
DATE: NOVEMBER 20, 2008
Goodrich Quality Theaters Inc
4417BROADMOOR
GRAND RAPIDS, MI 49512
Phone 616- 6987733
TOLD Carmel Clay Parks Dept.
ATTN: Jessica Davis
1235 Central Park Drive E. NOV 2 ZOO8
Carmel, IN 46032
B�':
PAYMENT METHOD CHECK NO. JOB
12/19/08 Showing of Bolt
ORDERED SHIPPED DESCRIPTION ITEM UNIT PRICE LINE TOTAL
60 60 Tickets to Bolt Ticket $5.75 $345.00
60 60 Kids Pack Concession Items Kid $1.50 $90.00
SUBTOTAL
SALES TAX
TOTAL $435.00
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. j q (o04 F
362202 Goodrich Quality Theatres Inc. Terms
4417 Broadmoor
Grand Rapids, MI 49512
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/08 244 Bolt, Woodbrook Elementary 12/19/08 435.00
Total 435.00
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.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of
435.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 244 4343007 435.00 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
25 -Nov 2008
Signature
435.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund