172229 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362857 Page 1 of 1
ONE CIVIC SQUARE BOUNCERS R US PARTY RENTALS
CARMEL, INDIANA 46032 1739 INDUSTRIAL DRIVE SUITE 8 CHECK AMOUNT: $275.00
GREENWOOD IN 46143 CHECK NUMBER: 172229
CHECK DATE: 5/13/2009
DEP ARTMEN T ACCO PO NUMBER INV OICE NUMBER AMOUNT DE SCRIPTION
1046 4341985 2133 275.00 GUEST SPEAKERS
CaFMel Clay
Parks &Recreation
CHECK REQUEST
Date:I
L MAY 0 6 2009 I
C heck payable to
Name: n
Address: C
City, state, Zip IN
f
i
I
Mail check to payee Z
Return Return check to requestor
Check Amount: 17"-
Date Required
Check needed for: V(n n
To be paid from
PO (if applicable)
Budget account GL
Budget Line Description L� r&n
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): V 4
Requested by (signature)
Approved by (signature of Division Manager):
on this date G
Form revised 1 -21 -08
Invoice 2133 Page 1 of 1
Bouncers R Us Parry Rentals Phone: 317 889 -1477
1739 Industrial Drive Suite B Fax: 317 -889 -5980 Invoice 2133
Greenwood, Indiana 46143 E -mail: info @bouncers- r- us.com Invoice Date: 04/30/2009
www.bouncers- r- us.com Due Date: 05/08/2009
Billing Info Event Info
Carmel Clay Parks and Recreation Location: Carmel Start: 05/29/2009
ATTN: Shavonnc Holton Elementary 1:00 pill
1411 E. 116th St 101 4th Avenue, SE End 05/29/2009 4:00pm
Carmel, Indiana 46032 Cannel, Indiana 46032
Amount Due $68.75
Qty Item Description
Amount
1 Delivery /Set Lip Service Fee $35.00
1 Dunk Tank $150.00
200 Sno cone cups $10.00
1 Sno -Cone Blue Raspberry Syrup (gallon) $10.00
2 Sno -Cone Cherry Syrup (gallon) 0.00
$2
1 Sno -Cone Machine $20.00
Remaining Balance $275.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Bouncers R Us Party Rentals Terms
1739 Industrial Drive Suite B
Greenwood, IN 46143
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/30/09 2133 Activity at Carmel Elementary 5/29/09 275.00
Total 275.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Bouncers R Us Party Rentals Allowed 20
1739 Industrial Drive Suite B
Greenwood, IN 46143
In Sum of$
275.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1046 2133 4341985 275.00 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 -May 2009
Signature
275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund