HomeMy WebLinkAbout170468 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 360195 Page 1 of 1
ONE CIVIC SQUARE KIDZONE CHECK AMOUNT: $1,062.50
CARMEL, INDIANA 46032 12947 WEMBLY ROAD
CARMEL IN 46033 CHECK NUMBER: 170468
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1046 423.9099 762 1,062.50 OTHER MISCELLEANOUS
y
CaFMel c Cla)/
Parks &Recreation CHECK REQUEST
Date �QYCY1 Zd D
MAID 1 R 2009
Check payable to
Name: Klc 2 :Cn At V �"CY Qt�
�1 1 p �i
Address: q W 6 1 1�C_:1
City, state, zip CG�Y YY\e I N 1 -1U 3 3
Mail check to payee Return check to requestor
Check Amount 4 I 'b (D 5o Date Required MA -6D Ceymt N a', 3rd j )f'ck!V
Check needed for 1�01`� j Rer�w sc 1' w l S Out- C a m ps C a k3)
To be paid from
PO (if applicable) 0
II t
Budget account GL l r
Budget Line Description 50\00 but Vendor
dor
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): Nmtl k l k� f
f f?
Requested by (signature). C T
Approved by (signature of Division Manager):
on this date
Form revised 1 -21 -08
<TVRID
MAR t 8 2009 Inv oice
0
D L EI Invoice Date
762 2/27/2009
6 Vl. 5
Rental Date
www.kidzoneparfIren+al5.com 04/03/2009
(Y7) 663 -3301
Bill To Deliver To
Carmel Clay Parks and Recreation Smokey Row Elementary
1235 Central Park Dr E 900 W 136th St
Carmel, IN 46032 Carmel, IN 46032
Quantity Description Rate Amount
MOHAWK TRAILS
I Other Aardvark's 40' OC 350.00 350.00
1 Fun House 175.00 175.00
1 Sport: panel 0.00 0.00
SMOKY ROW rjZS O�
1 65' Obstacle Course with Slide 550.00 550.001
I Castle 175.00 175.00
Z5 CYO
Subtotal 1,250.00
Discount -15.00% 187.50 lot
`i o t z<
S�-
Thanks!
Subtotal $1,062.50
Sales Tax (7.0 $0.00
o7� Total $1,062.50
P.O.0 .m. Por P Payments /Credits
O.L# ILLI�Q -1D $000
Une Balance Due $1,062.50
Purc�ser
ACCOUNTS PAYABLE VOUCHER
i CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
360195 KidZone Party Rentals Terms
12947 Wembly Road
Carmel, IN 46033
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/27/09 762 Party rental MT PO 20282 1,062.50
Total 1,062.50
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
360195 KidZone Party Rentals Allowed 20
12947 Wembly Road
Carmel, IN 46033
In Sum of$
1,062.50
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 762 4239099 1,062.50 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
25 -Mar 2009
Signature
1,062.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund