HomeMy WebLinkAbout202750 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 362001 Page 1 of 1
ONE CIVIC SQUARE RUSSELL FARMS CHECK AMOUNT: $1,000.00
s CARMEL, INDIANA 46032 12290 E 191ST ST
oµ NOBLESVILLE IN 46060 CHECK NUMBER: 202750
CHECK DATE: 1011112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 203 1,000.00 FIELD TRIPS
Purchase
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Russell Farms Pumpkin Patch, LLC Purchase,' Invojgtft L -1 203
12290 E. 191 st Street ate
Noblesville, IN 46060
INVOICE
Customer
Name Carmel Clay Parks Recreation Date 9/23/2011
Address Attention: V ales ka Simmonds
City State ZIP
Phone
Qty Description Un Price TOTAL
200 Field Trip on October 20, 2011 200 students $5.00 $1,000.00
0CT 04 2011
SubTotal $1,000.00
Payment Details $0.00
Taxes
0
0 TOTAL $1,000.00
Russeli Farms open each Saturday Sunday 10am to 6pm in October
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 9129111
Check payable to
Name: Russell Farms Pumpkin Patch
Address: 12290 E 191" Street
City, State, Zip Noblesville, IN 46060
Mail check to payee _x Return check to requestor
Check Amount $1,000
Date Required October 20'', 2011
Check needed for: Field Trip for schools out camps at Cherry Tree and College wood
Elementary.
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 1081 -99 Budget Line
Budget Line Description: Field Trip to Russell Farms
Requested by (print): Valeska Simmonds
Requested by (signature):
i
Approved by (signature of Division Manager):
on this date t'
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.
362001 Russell Farms Pumpkin Patch, LLC Terms
12290 E 191st Street
Noblesville, IN 46060
,.Invoice Invoice Description
Date.._. Number (or note attached invoice(s) or bill(s)) PO Amount
9123111 203 Field trip CT CW Schools out camp 10/20/11 29011 1,000.00
Total 1,000.00
I 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.
362001 Russell Farms Pumpkin Patch, LLC Allowed 20
12290 E 191st Street
Noblesville, IN 46060
In Sum of
1,000.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 203 4343007 1,000.00 I 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
1,000.00 Accounts Payable Coordinator
I
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund