HomeMy WebLinkAbout158127 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
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ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 JUNGLE JOHN
12106 SOUTHEASTERN AVE
CHECK NUMBER: 158127
INDIANAPOLIS IN 46259
CHECK DATE: 41112608
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMB AM OUNT DE
1046 4341985 500.00 GUEST SPEAKERS
Cannel achy
Parks &Recreation CHECK REQUEST
Date: Z V 7
JAN 2 3 2008
Check payable t C(c,4,,
Name: �Ut
Address
T
City, State, Zip 1 n a i a n (,f pv ys A/ z' b 2 yq
Mail check to payee Return check to requestor
Check Amount 5 00,00 Date Required 1 Z�IL200 Q
Check needed for: J/ //U 1 U d fl dhow Uand CF
IIJ
Supporting documentation or receipt(s) MUST be attached.
To be paid fro t J I J 1 p q
Fund I V N Budget Line qZ C 1 0
Budget Line Description
Requested by (print):
f
Requested by (signature):
Approved by (signature of Di ion Manager):
on this date
Silly Safa i Station P V 1 b L� T
12106 Sn- utheastern Avenue
Indianapolis, IN 46259
317.862.9003 0
www.sillysafaris.com
CONTACT INFORMATION:
Carmel Clay Parks
Ben Johnson Animal Shows X Living Puppetry )(Storytelling
1235 Central Park Drive East
Carmel, iN 46032
DATE INVOICE OFFICIAL USE ONLY:
10/23/2007 8339
PHONE 31 -8 48 -7275
Program Confirmation Additional Comments
PROGRAM DATE TIME AUDIENCE Special Repeat Visit!
Spring Time
4!412008 1:00 2:30PM School Age wl Jennifer Hammons c)410 -8145
w) 698 -4966
REFERRED BY ICAd I
PROGRAM DESCRIPTION QTY RATE AMOUNT
nimal Show Silly Safari Show starring Safari Steve 1 300.00 300.00
1:OOPM Gollegewood Elementary F f E�'q
Animal Show 2nd Show Same Day O 2 9 2007 1 200.00 200.00
2:30PM Cherry Tree Elementary
Bn
DIRECTIONS:
ee to indemnify 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)
oever 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
Saari Shows' part, its agents, contractors, invitees or licensees.
Signature Date
Total: $500.00
MAKE CHECK PAYABLE TO: SILLY SAFARIS
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.
u Payee
Purchase Order No.
Silly Safaris Date Due
12106 Southeastern Ave.
Indianapolis, IN 46259
Invoice invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
23- Oct -07 8339 animal shows 500.00
Total 500.00
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
Foucher No. Warrant No.
Allowed 20
Stay Safaris
12106 Southeastern Ave.
,Indianapolis, IN 46259 In Sum of
500.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1046 8339 4341985 500.00 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 change is made were ordered and
received except
25 -Mar 2008
Si ure
I s 500.00 Business ces Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund