HomeMy WebLinkAbout160175 05/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $225.00
t,o CARMEL, INDIANA 46032 JUNGLE JOHN
12106 SOUTHEASTERN AVE CHECK NUMBER: 160175
INDIANAPOLIS IN 46259
CHECK DATE: 5129!2008
D EPARTMENT ACCOUNT PO NU INVOICE NUMBER AMOU D
1046 4341985 9054 225.00.GUEST SPEAKERS
i
z
Carmel a Clay
Parks &Recreation CHECK REQUEST
Date: R
Check payable to
Name:
Address:
City, State, Zip
Mail check to payee Return check to requestor
Check Amount Date Reguired
Check needed for
To be paid from
PO (if applicable) r l
Budget account GL
Budget Line Description A4_t'
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): S'���1�C515e��C�'h5(��v
Requested by (signature):
RED:
MAY 1 1.00E
Approved by (signature of Division Manager): cr'
on this date
Form revised 1 -21 -08
Sid.y Safari .Station
12106 Southeastern Avenue
Indianapolis, IN 46259��
317.862.9003 1 a
www.sillysafaris.com
CONTACT INFORMATION:
Carmel Clay Parks
Ben Johnson An Snows X Living Puppetry Storytelling
1235 Central Park Drive East
Carmel, IN 46032
DATE INVOICE OFFICIAL USE ONLY:
4/30/2008 9054
PHONE 317 -848 -7275
Program Confirmation Additional Comments
PROGRAM DATE TIME AUDIENCE Special Repeat Visit!
Alternative Minds Camp
6/5/2008 12:30PM School Age Jennifer Hammons c)410 -8145 w)698 -4966
Smokey Row Elem
FAX 317- 733 -6501
REFERRED BY ICAd
PROGRAM DESCRIPTION QTY RATE AMOUNT
nimal Show Silly Safari Show starring Safari Steve 1 250.00 250.00
Autism Celebration
Discount We're giving you a discount! In order to qualify for discount, 10.00% -25.00
payment must be made on the day of show or before and please
follow all guidelines for promoting the show. See web page for
details on the PR Tab.
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me ?n ng
DIRECTIONS:_
a._.F1 N' PJ J
1 2008
F MAY
P afai to indeify and hold harmless Silly Safari Shows, inc., its owners, agents or employees from any and all claims and liability or loss of any nature or any injury(ies)
soever arising out of or relating to activities on behalf of Silly Safari Shows at this event, and including, without limitation, any act of commission or omission on Silly
indemnify
i Shows' part, its agents, contractors, invitees or licensees.
Signature Date
MAKE CHECK PAYABLE TO:SILLY SAFARIS Total: $225.00
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.
Silly Safaris
12106 Southeastern Avenue Date Due
Indianapolis, In 46259
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/08 9055 Amazon Jungle John 225.00
4/30/08 9054 Safari Steve 225.00
Total 450.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
35 Allowed 20
Silly Safaris
12106 Southeastern Avenue
Indianapolis, In 46259 In Sum of
450.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1 T-46- 1 hereby certify that the attached invoice(s), or
1046 9054 4341985 225.00 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
23 -May 2008
Signa
450.00 Business Service anager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund