173109 05/28/2009 CITY OF CARMEL, INDIANA VENDOR: 362202 Page 1 of 1
ONE CIVIC SQUARE GOODRICH QUALITY THEATRES INC CHECK AMOUNT: $239.25
CARMEL, INDIANA 46032 4417 BROADMOOR
GRAND RAPIDS MI 49512 CHECK NUMBER: 173109
CHECK DATE: 5/28/2009
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AM OUN T DE
1046 4343007 280 J 239.25 FIELD TRIPS
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 19May2009
MA Y 2 0 2009
Check payable to Qc)(DL PICH Qk3FAUT 'MEATRi =5 Ely:
Name: IMAX NOBLESVILLE
Address: 13825 Norell Road
City, State, Zip Noblesville, IN 46060
Mail check to payee x Return check to requestor
Check Amount 239.25 Date Required 02June2009
Check needed for: Field Trip to IMAX 16
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund 46210004 Budget Line 4343007
Budget Line Description Field Trips
Requested by (print): Nikeesha Pittman
Requested by (signature):
Approved by (signature of Division Manager):
on this date —�--0
f SALES INVOICE I
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Goodrich Quality Theaters Inc INVOICE 280
I DATE: MAY 19, 2009
MAY 2 0) 2009 L)
Goodrich Quality Theaters Inc
4417 BROADMOOR
GRAND RAPIDS, MI 49512
�tv
Phone 616- 6987733
j SOLD Carmel Clay Parks
TO Nikeesha Pittman s
1235 Central Park Drive East
Carmel, IN 46032 I
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PAYMENT METHOD i LOCATION JOB
Hamilton 16 6!2109 11:30 AM Up in Digital 3D f
ORDERED SHIPPED I DESCRIPTION ITEM UNIT PRICE LINE TOTAL
L._........_._
29 29 11:30 AM Showing of "UP" TICKET 8.25 239.25
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SUBTOTAL
SALES TAX
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TOTAL $239.25
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
5/19/09 280 Field trip 6/2/09 239.25
Total 239.25
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
239.25
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 280 4343007 239.25 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
21 -May 2009
T
Signature
239.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund