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202539 10/11/2011
CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1 ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT, INC CHECK AMOUNT: $235.00 CARMEL, INDIANA 46032 8485 W WASHINGTON STREET SUITE #9 INDIANAPOLIS IN 46231 CHECK NUMBER: 202539 CHECK DATE: 10/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4340800 10282011 235.00 ADULT CONTRACTORS M 2;1 FamilyTime Entertainment, Inc. 8485 West Washington Street Suite #9 Indianapolis, In 46231 Emergency Cell: 317- 850 -1511 Office Phone: 317 635 -7770 Fax: 317 955 -3938 INVOICE CONTRACT 10282011 INVOICE DATE: September 30 2011 FamilyTime Federal ID 35- 2135781 Purchan Billed TO: Des JQ %"1e I Carmel Clay Parks P.O. F d DO P ao Attention: Megan Storms G.L. t®.—Y 3 �OD Site Supervisor Prairie Trace Elementary School D ©�es�r CC� 1235 Central Park Drive East Punch Cr�S D$<e I D- Carmel, IN 46032 ApP Date I L t I DESCRIPTION OF SERVICES FamilyTime Entertainment is providing a Comedy Magic Show at Prairie Trace Elementary School on Friday, October 28 2011 6:45 pm. Total Cost is $235.00. The Entertainer is Don Miller His Cell Phone Number is 317 -507 -4951 TOTAL DUE TO FAMILYTIME ENTERTAINMENT $235.00 Please Mail a Check for $235.00 to FamilyTime Entertainment by October 25 2011; or give $235 fee check to Don Miller ar, the Show. Please Make Checks to FamilyTime Entertainment Inc. THANK YOU FOR SELECTING FAMILYTIME ENTERTAINMENT Carmel c Clay Parks &Recreation CHECK REQUEST Date: OCT 0 5 200 r Check payable to Name: Y11 I l C� 1,x'1 Yylp Address: 9 sf rlep_' SOAP 49 City, State, Zip 7 q6 L Mail check to payee etum check to requestor Check Amount Date Required G Check needed for To be paid from PO (if applicable) V V l Cll Budget account GL Budget Line Description Supporting documentation or receipt(s) MUST be attached. Requested by (print): na Oar? ���01_s Requested by (signature): Approved by (signature of Division Manager): on this date Form revised 1 -21 -08 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 8485 W Washington Street, Ste 9 Indianapolis, IN 46231 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 9/30111 10282011 Magic Show PT 10/28/11 235.00 Total 235.00 1 hereby certify that the attached invoice(s), or bill(s) Js (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 8485 W Washington Street, Ste 9 Indianapolis, IN 46231 In Sum of 235.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -7 10282011 4340800 235.00 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 6 -Oct 2011 Signature 235.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund