HomeMy WebLinkAbout173379 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM
CARMEL, INDIANA 46032 650 W WASHINGTON ST CHECK AMOUNT: $160.00
INDIANAPOLIS IN 46204
CHECK NUMBER: 173379
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE N UMBE R AMOUNT DESCRIPTION
1046 4343007 110085 160.00 FIELD TRIPS
rt
i
Carriiel c Clay
Parks &Recreation CHECK REQUEST
7
Date:
MAY 2 9 1009 IJ
Check payable to U u
Name. n C' 1 c,no.\
Address: USCG rw�-3n
City, State, zip \nA
Mail check to payee_ Return check to requestor
Check Amount Date Required �une 1 1 0
Check needed for
To be paid from
PO (if applicable)
Budget account GL tG 0
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): r) eNn h\ C.mrncrn
Requested by (signature):
Approved by (signature of Division Manager):
on this date
S (7 -U
Form revised 1 -21 -08
INDIANA STATE MUSEUM;. MAY 2
GUEST SERVICES 9 Zoo9 e
650 W. Washington Street
Indianapolis, IN 46204 1
317.232.1 637
RESERVATION CONFIRMATION PAGE 2 OF 2
INVOICE
CUSTOMER: ORDER NUMBER: ARRIVAL DATE 8 TIME:
CARMEL CLAY PARKS AND RECREATION 110085 06/10/2009 9:30 AM
JENNIFER HAMMONS LUNCH:
1235 CENTRAL PARK E DR LUNCHROOM 12:15
CARMEL, IN 46032 AGENT'S NAME:
JESSICA
QTY DESCRIPTION PRICE EXTENTION
40 LUNCH ROOM 0.00 0.00
SCHOOL LUNCH ROOM 06/10/2009 12:15 PM
10 MUSEUM GROUP ADULT 5.50 55.00
30 MUSEUM GROUP CHILD 3.50 105.00
TOTAL 160.00
PAYMENT 0.00
BALANCE DUE 160.00
2
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.
Terms
353648 Indiana State Museum
f 650 W Washington Street
Indianapolis, IN 46204
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
160.00
6110109 110085 Field tri Summer cam
Total 160.00
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
t�
160.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #FrITLE AMOUNT Board Members
Dept
1046 110085 4343007 160.00 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
i
which charge is made were ordered and
received except
4 -Jun 2009
Signature
160.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund