HomeMy WebLinkAbout170837 04/16/2009 i
CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT, INC
o CARMEL, INDIANA 46032 960 E WASHINGTON ST SUITE 1OOe CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46202 CHECK NUMBER: 170837
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1046 4340800 3240D 200.00 ADULT'.CONTRACTORS
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CarrTiel L Clay
Parks &Recreation CHECK REQUEST APR D 6 1009
Date: J 1 O I BY
Check payable to
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Address: C \(t�
City, State, Zip
—J Mail check to payee Return check to requestor �O
Check Amount Date Required
Check needed for C_
To be paid from
PO (if applicable) c 11
Budget account GL
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): Yom' �'1_ Q� Q��G� S
Requested by (signature):
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Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
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FamilyTime Entertainment, Inc. FED: I D 35-2135781
960 E. Washington Street 317-635-7770 Main R-FCF-,,TVFD
888-752-9109 Toll-free
,FAmi _qvTj v i� Suite 100 B MAR 2 7 2009
1 kill Hll:,15�_&11 Indianapolis IN 46202 317-955-3938 Fax
INVOICE INVOI
3/23/09
Q FOR CONTRACT
Purchase 3240D
F_ Desaiption PURG ORDER
Carmel Clay Parks Recreation P.O. 0 Cl (y(fo 0
G-L I 00"4 7 v
Ben Johnson Valeska Simmons B d t
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1235 Central Park Drive East Une
Carmel IN 46032 Purchas
Approval
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DESCRIPTION Location: Lawrence W Inlo Park Contract Amt: $200.00
1 Day 4/22/09 4/22/09 Jeff Simms Comedy-Magic Show Deposit Amt: $0.00
Pmt.
Make check to FamilyTime EntertainmejA
Mail $200 fee to FamilyTime by 04/17/00 A P R 0 2009 r $200.00
BY: Now Due
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.
00353387 Family Time Entertainment, Inc. Terms
960 E. Washington St., Ste 100 B
Indianapolis, IN 46202
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/23/09 3240D Comedy -Magic show 4/22/09 200.00
Total 200.00
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.
00353387 Family Time Entertainment, Inc. Allowed 20
960 E. Washington St., Ste 100 B
Indianapolis, IN 46202
In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 3240D 4340800 200.00 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
8 -Apr 2009
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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