HomeMy WebLinkAbout203857 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 355028 Page 1 of 1
}i ONE CIVIC SQUARE FUN 2 LEARN CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 484 E CARMEL DRIVE
y SUITE 143 CHECK NUMBER: 203857
CARMEL IN 46032
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4340800 ESEMOHAWK 200.00 ADULT CONTRACTORS
Carmel e Clay
Parks&Recreatioh CHECK REQUEST
Date:
Check payable to:
Name: FLA r) L f r)
Address: (-3 g3; n e-
City, State, Zip C-C.0 m e—
Mail check to payee Return check to requestor
Check Amount: 'a-C-) L Date Reguired: a I 1511
Check needed for: Pc- n MkeV (')L'� kloz)� r
To be paid from:
PO (if applicable) "Q- a
Budgetaccount GL# y C v l �1
Budget Line Description
K; lii
Invoice(s) and Purchase Order ff required) MUST be attached.
i.
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 7-7-08 Shared Administrative Forms Staff forms Check Request (rev 7-7-08)
S 4
INV
Fun2learn
Where Learning and Fun Play Together
622 South Rangeline Road �rdN�.�eOi.rin
Suite g
Carmel, IN 46032 INVOICE #ESEMOHAWK12152011
Phone 317 789 -8772 DATE: NOVEMBER 14, 2011
TO: FOR:
Cyndi Canada Parents Nite Out Event Services
Carmel Parks and Recreation
Mohawk Trails ESE Due: December 15, 2011
DESCRIPTION Date Time Fee
Parents Nite Out Event: Pop Star and Fashion Nite
Combo for ESE students at Mohwak Trails Elementary Dec. 15, 2011 6 -9 p.m. $200
School Carmel
Purchase
Description
P.O. e OOO 0 P Or®
G.L. EL
Budget
Line Des
cr
Purch r 6— Date
Approv I
I
H 0 208 1 r..
Y� °fie
TOTAL $200.00
Please make checks payable to: Fun2Learn
Thank you for your business.
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.
355028 Fun 2 Learn Terms
622 South Rangeline Rd, Suite G
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/14/11 ESEMOHAWK12152011 Parent Night out 12/15/11 MT 200.00
Total 200.00
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.
355028 Fun 2 Learn Allowed 20
�622�SouthRangellne�
k Rd�Sulte�G
new address In Sum of
200.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -99 ESEMOHAWK12152011 4340800 200.00 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
17 -Nov 2011
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund