200516 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 355022 Page 1 of 1
ONE CIVIC SQUARE LASER FLASH INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,750.00
s.�ru 617 THIRD AVE SW
CARMEL IN 46032 CHECK NUMBER: 200516
CHECK DATE: 8/1712011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 110 1,450.00 FIELD TRIPS
1082 4343007 115 300.00 FIELD TRIPS
P '0
PL d
�e����� 'Inc. a.�. tnY,� t��3. a... Invoice
617 Third Avenue Sw Buclg_et
Una t
Carmel, IN 46032 pat I Date Invoice
Ap �e- 06/13/2011 115
Bill To
Carmel Clay Parks
1235 Central Park East
Carmel, Indiana 46032
Terms Due Date
day of event 07/14/2011
Description Qty Rate Amount
session of laser tag 25 12.00 300.00
D
in I
AUG p 9 ;of
Sales Tax (9.0 $0.00
Total $300.00
Payments /Credits $0.00
Balance Due $300.00
Phone Fax E -mail Web Site
317.571.1677 317.571.1668 info @laser- flash.com www.laser- flash.com
.152betd7a.61z, Qu• Invoice
617 Third Avenue Sw
Carmel, IN 46032 Date Invoice
11/16/2010 110
Bill To Purchase
o
Descripttotl P
Carmel Clay Parks p aw to
1235 Central Park East P O
Carmel, Indiana 46032 Bud
Une Descx 1 1
Purchas Date
Apps
Terms Due Date
day of event 07/22/2011
Description Qty Rate Amount
4 -hour exclusive starting at Noon 1,450.00 1,450.00
includes all laser tag you can play
1,000 arcade tokens
fountain drinks
Sales Tax (9.0 $0.00
o n Total $1,450.00
AUG 0 4 2011 IL�I
Payments /Credits $0.00
Balance Due $1,450.00
Phone Fax E -mail Web Site
317.571.1677 317.571.1668 info @laser flash.com www.laser- flash.com
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.
355022 Laser Flash, Inc. Terms
617 Third Avenue SW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/13/11 115 Field trip 28718 300.00
7/22/11 110 Field trip 28276 1,450.00
Total 1,750.00
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.
355022 Laser Flash, Inc. Allowed 20
617 Third Avenue SW
Carmel, IN 46032
In Sum of
1,750.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -9 115 4343007 300.00 1 hereby certify that the attached invoice(s), or
1082 -1 110 4343007 1,450.00 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
9 -Aug 2011
fi&jdiv�'7�
Signature
1,750.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund