205951 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 363602 Page 1 of 1
ONE CIVIC SQUARE PACERS SPORTS ENTERTAINMENT
CARMEL, INDIANA 46032 CIO JACKIE MAGNUSON CHECK AMOUNT: $636.00
125 S PENNSYLVANIA ST CHECK NUMBER: 205951
INDIANAPOLIS IN 46204
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343007 2/16 636.00 FIELD TRIPS
Carmel e Clay
P arks &Recreation CHECK REQUEST
Date: f
Check payable to
Name: 5-pjwtj� fi 1�(W(
Address: l J- PWW j -S LV4df►.+ t
City, State, Zip 5 0(4 11-1 f ou S
Mail check to payee Return check to requestor
Check Amount 6 Date Required
Check needed for
L"
To be paid from
PO (if applicable)
Budget account GL#
Budget Line Description
r
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date r
Form revised 7 -7 -08
Pacers Sports Entertainment INDIANA PACERS
Hannah Guess
125 S. Pennsylvania Street I�`VOICe
Indianapolis, IN 46204
Phone: 317 917 -2824
Fax: 317- 917 -2899
Ben Johnson Date: January 4, 2012
Carmel Clay Parks and Recreation
1411 E. I16`" Street Purchase
Carmel, IN 46032 Description 4 k
P.O. P 4L
Account: 1693118 G.L. C` l
Conseco Fieldhouse 7ne astx 1 aser- pproval Data �l�
Description Price
Indiana Pacers 2011 -2012 Season
Thursday, hebruary 16` vs. New Jersey Nets
60 Upper Level $10.60 /per seat $636.00
TOTAL AMOUNT DUE: JAS 1 1012
$636.00
TOTAL AMOUNT PAID: $0.00
Remaining Balance: $636.00
PLEASE LNDICATE FORM OF PAYMENT
Cash
heck (Make payable to Indiana Pacers)
[7 Credit Card: Exp.
AmEx Visa M/C Discover
Card Holder's Signature:
Please Mail Check to: Pacers Sports Entertainment
c/o Hannah Guess
125 S. Pennsylvania Street
Indinnnnolis. TN 4h7.04 1V/
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.
363602 Pacers Sports Entertainment Terms
C/O Hannah Guess
125 S Pennsylvania St.
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/4/12 2/16 Field trip ESE 2/16/12 30367 636.00
Total 636.00
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.
363602 Pacers Sports Entertainment Allowed 20
C/O Hannah Guess
125 S Pennsylvania St.
Indianapolis, IN 46204 In Sum of
636.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1081 -99 2/16 4343007 636.00 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
26 -Jan 2012
Signature
636.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund