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174880 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 361421 Page 1 of 1 ONE CIVIC SQUARE GREATIMES FAMILY FUN PARK CHECK AMOUNT: $372.00 CARMEL, INDIANA 46032 5341 ELMWOODAV INDPLS IN 46203 CHECK NUMBER: 174880 CHECK DATE: 7/2212009 DEPARTMENT ACCOUNT PO NUMBER I NVOIC E NUMBER AMOUNT DESCRIPTION 1046 4343007 6/19/09 372.00 FIELD TRIPS MWVM V/ 1- dL ®9 a Ior -'1 4W i B e 7(-K Greatimes Family Fun Park Pur h U invoice N Q 5341 Elmwood Ave. Indianapolis, IN 46203 (317) 780 -0300 Fax (317) 781 -6374 INVOICE Customer Misc Name Carmel Cla Parks Recreation Date 6/19/2009 Address Order No. City State ZIP Rep Leader Amy Baldouf FOB Qty Description Unit Price TOTAL 31 2 hr. unlimited armband good for go -karts, bumper boats, mini. golf, $12.00 372.00 kid's indoor playland JUN 2 4 2009 ID 7 SubTotal 372.00 Shipping Payment Credit Tax Rate(s) Comments TOTAL 372.00 Name CC Office Use Only Expires !f you have any questions about your invoice, please contact: Melanie Bamard or Bryan Puckett at (317) 780 -0300 Thank you for your patronage! ACCOUNTS PAYABLE VOUCHER r 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. 361421 Greatimes Family Fun Park Terms 5341 Elmwood Ave. Indianapolis, IN 46203 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 6/19109 6119109 Field trip 372.00 Total 372.00 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. 361421 Greatimes Family Fun Park Allowed 20 5341 Elmwood Ave. Indianapolis, IN 46203 or In Sum of T 372.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members Dept 1046 6119109 4343007 372.00 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 16 -Jul 2009 d Signature 372.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund