174806 07/22/2009 CITY OF CARMEL, INDIANA VENDOR. 362937 Page 1 of 1
ONE CIVIC SQUARE COUSINS TENTS AND MORE LLC CHECK AMOUNT: $2,455.00
CARMEL, INDIANA 46032 9440 NORTH 400 WEST
FOUNTAINTOWN IN 46130 CHECK NUMBER: 174806
CHECK DATE: 7122/2009
DEPA RTMENT J AC COUNT PO NUMBE I NVOIC E NUMBER AMOUNT DESCRIPTION
1 1046 4341985 52909001 1,575.00 GUEST SPEAKERS
1046 4341985 70109001 880.00 GUEST SPEAKERS
Cousin's Tents and More
Daryl Pyle 317 797 5456
Chad Ortel 317 604 -0665
Invoice #L052909001_ for Carmel Clay Parks and Recreation
Field Day Event for College Wood Elementary School May 29;2009 t
1 Mobile Rock Wall
$500
1 Mobile Game Theater $450
1 Obstacle Course $400
1 Large Moonwalk $150
Labor and Delivery
$75
Total: c:-$_1 -5 7.5_
Tax Exempt number:
PLwdmo
PA* P
G.L t
Bud et �1
Line v 1
Purchases
APPS
e
JUL U 6 X009 I
L
J
Cousin's Tents and More C�y�
Daryl Pyle 317 797 5456,�,,��1
Chad 4rtel 317 604 -0665
Invoice_ 070.10900- 1- f Clay Parks and Recreation
Event for College Wood Elementary School West Clay, Cherry Tree and Forest Dale
1 Mobile Rock Wall
$800
Delivery $80
Total C$880-
Tax Exempt number:
JUL 0 6 2009
Purchase
Description 7 v
P.O. F
G.L
Budget
Line %e Cj1
Purchaser Date(D
Approval Date
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.
Cousins Tents and More LLC Terms
9440 North 400 West
Fountaintown, IN 46130
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5129/09 52909001 Inflatables Theatre CW 20880 1,575.00
7/1109 70109001 Rock Wall CW, WC, CT, FD 7/1/09 20907 880.00
7/1/09
Total 2,455.00
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.
Cousins Tents and More LLC Allowed 20
;9440 North 400 West
�f= ountalritowriIN 46�13fl �����4
In Sum of
2,455.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITL AMOUNT Board Members
Dept ept
1046 52909001 4341985 1,575.00 1 hereby certify that the attached invoice(s), or
1046 70109001 4341985 880.00 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
16 -Jul 2009
Signature
2,45550 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund