HomeMy WebLinkAbout179793 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363602 Page 1 of 1
ONE CIVIC SQUARE PACERS SPORTS ENTERTAINMENT CHECK AMOUNT: $600.00
CARMEL, INDIANA 46032 C/O JACKIE MAGNUSON
125 S PENNSYLVANIA ST CHECK NUMBER: 179793
INDIANAPOLIS IN 46204
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343007 12/16/09 600.00 FIELD TRIPS
Carmel c Clad`
r
Parks &Recreation CHECK REQUEST
Date: 1 1
Check payable et
Name:
Address: 1 O J S (�f ►j
City, State, Zip
Mail check to payee r° 4 Return check to requestor GO
Check Amount b oo Date Required
Check needed for
To be paid from
PO (if applicable)
Budget account GL I J 001
Budget Line Description(
Supporting documentation or receipt(s) MUST be attached.
Requested by (print):�� V
Requested by (signature):
Approved by (signature of Division Manager):
on this date 0
Form revised 1 -21 -08
PACERS SPORTS ENTERTAINMENT
INVOICE Ticket Services Jackie Magnuson (317- 917 -2839)
TODAY'S DATE October 15, 2009
CLIENT INFORMATION
CONTACT Ben Johnson
COMPANY Carmel Clay Parks and Recreation
ADDRESS 1411 E. 116`'' St. Carmel, IN 46032
PHONE (317) 573 -5240
Event s Price:
Tunnel Club 60 tickets 600.00
Wednesday, December 16, 2009
Processing Fee 0.00
Amt. Pd 0.00
Full payment due one week before game date Balance 600.00
PLEASE INDICATE FORM OF PAYMENT
Cash
Check (Make payable to Indiana Pacers)
0 Credit Card: Exp.
AmEx Visa M/C Discover
Card Holder's Signature:
Please Mail Check to: Pacers Sports Entertainment, c% Jackie Magnuson, 125 S. Pennsylvania St.,
Indianapolis, IN 46204
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.
1
Payee
Purchase Order No.
Pacers Sports Entertainment Terms
C/O Jackie Magnuson
125 S Pennsylvania St.
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/15/09 12/16/09 Field trip ESE 22795 F 600.00
Total 600.00
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.
Pacers Sports Entertainment Allowed 20
C/O Jackie Magnuson
125 S Pennsylvania St.
Indianapolis, IN 46204 In Sum of
600.00
�2
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 12/16/09 4343007 600.00 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
19 -Nov 2009
Signature
600.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund