180005 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 362248 Page 1 of 1
t 41 ONE CIVIC SQUARE BOUNCE PLANET CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 1710 E PLEASANT STREET
o� NOBLESVILLE IN 46060 CHECK NUMBER: 180005
CHECK DATE: 12/8/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4343007 2837 250.00 FIELD TRIPS
Carmel ®Clay
Parks &Recreation CHECK REQUEST
Date: l 18 l U 1
Check payable to
Name: (2 C
Address: I
City, State, Zip' O Yl V( V I'C i Iy "I U 3�Z,(D
Mail check to payee Retum check fo requesto�
Ub
Check Amount O Date Required
C ck needed for: �I (/j/l V' U JI) P
1/ I /Z I
Supporting documentation or receipt(s) MUST be attached.
To be paid from
Fund n UI n I P Budget Line c�
Budget Line Description
Requested by (print):
Requested by (signat
Approved by (signatu of Division Manager):
on this date I 0
r'
NOV 19 2009
r c
c` B
'012"Ace��'1a� 1710 East Pleas tan Sfeet, Noblesville', IN 46060
Phone: (317)770-4333
Website: www.bounceplanet.net Email: info @bounceplanet.net
Deli very Location Order LNo :'02837
Carmel Clay Parks Recreation ESE
Cindy Canada Orde Date: 8, 2009
1235 Central Park Drive East
C,�rmel, IN 46032 Written by: Administrator
Phone: (317)418 -8475
`TnvNo Name Qty Total
R3 I Room 3 1 $250.00
Order subtotal $250.00 Start Date Time: Dec 18, 2009 1:00 pm
Discount 0.00% $0.00 End Date Time: Dec 18, 2009 3:00 pm
Taxable Amount $0.00
Sales Tax 7.00 $0.00
Delivery $0.00
Total $250.00
Amount Paid $0.00 Additional Notes:
Balance Due Group from Mohawk Trails Elem School
afterschool program. 60 -70 kids for PRIVATE
BOUNCE ONLY.
$5.00 PER CHILD.
Carmel Parks must be billed for payment.
First payment billed for 50 kids -sent via email
11/18/09. Balance billed day of event
(12/18/09).
NOV 1 9 2009
UT:
Printed on 11/18/2009 11:08:39 AM
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.
362248 Bounce Planet Terms
1710 East Pleasant Street
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/18/09 2837 Field trip 12/18/09 MT 22931 F 250.00
Total 250.00
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.
362248 Bounce Planet Allowed 20
1710 East Pleasant Street
Noblesville, IN 46060
In Sum of
i 250.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1046 2837 4343007 250.00 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
3 -Dec 2009
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund