166218 11/24/2008 F CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $575.00
a CARMEL, INDIANA 46032 4417 BROADMOOR
L;,�.o� t��. GRAND RAPIDS MI 49512 CHECK NUMBER: 166218
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1046 4343007 243 575.00 FIELD TRIPS
c��
CaF Mel c Clay
Parks &Recreation CHECK REQUEST
Date:
Check payable to i
Name: G( 6 Y Vic 1 1� e S n c
Address:
City, State, Zip G y n6 �c CJ \c\ 5,
Mail check to payee �etu check to requestor
Check Amount Date Required
Check needed for P c t r t P
To be paid from
PO (if applicable)
Budget account- GL
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
i
Requested by (print): v f1 1 In
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
11/1;4'2008 14:46 FAX 616 698 7220 GOODRICH 1@ 002
SALES INVOICE
Purchaso
Descripti
P F
Goodrich Quality Theaters Inc Bud et
INVOICE 243
Line
DATE: NOVEMBER 10, 2006
Purchaser
Goodrich Quality Theaters Inc APPS
4417 BROADMOOR -1•: Q
GRAND RAPIDS, MI 49512
(Phone 616.6967733
SOLD Carmel Elementary
i To 101 4th Ave. SE
Carmel, IN 46032
PAYMENT'AE HOD' CHECK;NO., JOB
12/3/08 Mada gascar 2
ORDERED-. SHIPPED„ DBSCRIP�ION;; fTEti1 ;�'UNIT LINE-TOTAL
100 100 Madagascar 2 Ticket $5,75 $575.00
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NOV 1 2 2008 SALES TAX
TOTAL $575.00
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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.
A
Payee
Purchase Order No. 19594 F
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
11/10/08 243 Madagascar 2 Carmel Elem 12/3/08 575.00
Total 575.00
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
�J
Voucher No. Warrant No.
Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of
J
575.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 243 4343007 575.00 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
17 -Nov 2008
Signature
575.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund