178162 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $575.00
CARMEL, INDIANA 46032 4417 BROADMOOR
GRAND RAPIDS MI 49512 CHECK NUMBER: 178162
CHECK DATE: 10114/2009
D EPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
;1046 4343007 290 575.00 FIELD TRIPS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: 1 0-1 1 0 9 0 CT0 1 1009
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Check payable to
Name: 6 L vi f ai I nc
Address: r
City, State, Zip Im° F 06d 1 �qs )2_
Mail check to payee Return check to requestor
Check Amount 5 I Date Required
Check needed for
To be paid from
PO (if applicable)
Budget account GL
Budget Line Description k `U
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): L b CA L 1
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Requested by (signature):
Approved by (signature of Division Manager):
on this date IQ��
Form revised 1 -21 -08
SALES INVOIC
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Goodrich Quality Theaters Inc INVOICE 290
DATE: SEPTEMBER 29, 2009
Goodrich Quality Theaters Inc
4417 BROADMOOR
I GRAND RAPIDS, MI 49512
1 Phone 616- 6987733
i SOL Carmel Clay Parks
To Amy Baldauf r
1235 Central Park Drive East OCT 1 20Q9
Carmel, IN 46032
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PAYMENT METHOD LOCATION JOB fl
Porta
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ge 11W09 7 OOPM Where the Wild Things Are
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I ORDERED SHIPPED DESCRIPTION J ITEM UNIT PRICE LINE TOTAL
100 100 Admission to Where the Wild Things Ate TICKET 5.75 575.00
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SUBTOTAL
SALES TAX
Purchase
Description TOTAL $575.00
P.O. P or F
Budget
Line Desd'
Purchaser Date
Approval t Dat
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
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/29/09 290 Field trip 11/6/09 SR 22675 575.00
Total 575.00
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.
362202 Goodrich Quality Theatres Inc. Allowed 20
4417 Broadmoor
Grand Rapids, MI 49512
In Sum of
575.00
A
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 290 4343007 575.00 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
7 -Oct 2009
Signature
575.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund