HomeMy WebLinkAbout203896 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM CHECK AMOUNT: $2,910.00
CARMEL, INDIANA 46032 650 W WASHINGTON ST
INDIANAPOLIS IN 46204 CHECK NUMBER: 203896
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 0 -52.50 FIELD TRIPS
1081 4343007 145741 2,962.50 FIELD TRIPS
Carmel Clay
Parks &Recreation CHECK REQUEST
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Date NO
6
Check payable to
Name:
Address: Yv htr� Q,�
City, State, Zip llnrAlbnc,� is
Mail check to payee Return check to requestor
UCH
Check Amount Date Required
Check needed for _Pled 011
To be paid from
PO (if applicable) �2 V 1
Budget account GL t 3 1- 1 3 GCq
Budget Line Description 4tW41
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): )�Ute,, 11�1�kl�hLl_
Requested by (signature):
Approved by (signature of Division Manager
on this date l I
Form revised 1 -21 -08
11/14/11 MON 14:07 FAX 3175714031 FOREST DALE 2003
10/21/2011 12:53 3172342489 INDIANA STATE MUSEUM PAGE 93/03
NOV 16 2011 I J
INDIANA STATE MUSEUM
GUEST SERVICES
1350 W. Washington Street
Indianapolis. IN 46204
317.232.1637
RESERVATION CONFIRMATION PAGE 2 OF 2
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CUSTOMER: ORDER NUMBER: ARRIVAL DATE TIME:
CARMEL CLAY PARKS AND RECREATION 145741 r� 2 0> 1 o;oD ann
VALESKA SIMMONDS LUNCH:
1235 CENTRAL PARK DR E LUNCHROOM 11:30 12:15
CARMEL, IN 46032 AGENT'S NAME:
BONNIE
115 LUNCH ROOM
SCHOOL LUNCH ROOM 12122!2011 11:30 AM 0.00 0.00
115 LUNCH ROOM 0.00 0,00
SCHOOL LUNCH ROOM 12/22/2011 12:15 PM
200 SPECIAL ENGAGEMENT— HAPPY FEET 2 MUSEUM 12.00 2.400.00
30 SVE IMAL ENGAGEMENT— NAPPY FEET g I MUSEUM 18.75 562.60
TOTAL 2 D
PAYMEN
BALANCE DUE 0,0D 0.00
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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.
353648 Indiana State Museum Terms
650 W Washington Street
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/14/11 145741 Field trip 12/22/11 20574 2,962.50
Certificate (46.50)
Certificate (6.00)
Total 2,910.00
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
Voucher No. Warrant No.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of
2,910.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 =99 145741 4343007 2,962.50 1 hereby certify that the attached invoice(s), or
1081 -99 0 4343007 (46.50) bill(s) is (are) true and correct and that the
1081 -99 0 4343007 (6.00) materials or services itemized thereon for
which charge is made were ordered and
received except
17 -Nov 2011
Signature
2,910.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund