180085 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
i ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $658.50
CARMEL, INDIANA 46032 4417 BROADMOOR
�o GRAND RAPIDS MI 49512 CHECK NUMBER: 180085
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343007 300 658.50 FIELD TRIPS
Carmel Clay CHECK REQUEST
Parks &Recreation
Date: 11/11/09
Check payable to
Name: Goodrich Quality Theaters
Address: 4417 Bradmoor
City, State, Zip Grand Rapids, MI 49512
Mail check to payee Return check to requestor
Check Amount: $658.50
Date Required 12/18/09
Check needed for: Field Trip CAA—
Supporting documentation or receipt(s) MUST be attached.
R vi L4 r
To be paid from NOV 1 3 2009
Fund _46- 100 -009 e
4343007
Budget Line
Budget Line Description
Field Tri
Requested by (print): Geor ianna Edwards
Requested by (signature):
Approved by (signature of Division Manager):
on this date I'�
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.
362202 Goodrich Quality Theatres Inc.
Terms
4417 Broadmoor
Grand Rapids, MI 49512
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
11/4/09 300 Field trip 12/18/09 TM
22874 F 658.50
Total 658.50
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.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of
e
658.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1046 300 4343007 658.50 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
3 -Dec 2009
Signature
658.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund