174402 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 355022 Page 1 of 1
ONE CIVIC SQUARE LASER FLASH INC
CARMEL, INDIANA 46032 617 THIRD AVE SW CHECK AMOUNT: $1,700.00
CARMEL IN 46032 CHECK NUMBER: 174402
CHECK DATE: 71812009
DEPA AC COUNT PO NUMB INVOICE NUMBER AMOU DES CRIPTION
1046 4343007 90 1,700.00 FIELD TRIPS
Carmel Clay
Parks &Recreation CHECK REQUEST
Date.
APR 0 6 2009
Check payable to r 1 n
BY:
Name.-
Address:
City, State, Zip
Mail check to payee Return check to requestor
Check Amount 1) 1 x Date Required. I
Check needed for
To be paid from
PO (if applicable) o V
Budget account GL 3 on 7- 1
Budget Line Description nv
Supporting documentation or receipt(s) MUST be attached.
Requested by (print):
Requested by (signature): l
Approved by (signature of Division Manager):
on this date v/
Form revised 1 -21 -08
Poet (fta.6/1, 4 AC• Invoice
617 Third Avenue Sw
Carmel, IN 46032 MAR 9, 0 2009 Date Invoice
2/13/2009 90
Bill To
Carmel Clay Parks
760 Third Avenue SW
Carmel, Indiana 46032 F I V E, D
FEB 1 8 2009
1:3Y:
Terms Due Date
on day of ev... 07/22/2009
Description Qty Rate Amount
5 hours exclusive rental of Laser Flash 1 1,700.00 1,700.00
noaddy Purchase
�eseyoJnd Description
P.O. P or F
xosseQ f
w6png OIL U Z 0— 0 1 4-3 13W
70 Budget
Line Desc r d j Li 0 S
d J0 d 'O'd Purchaser ate Z d
�l3duma
e9e40Jnd Approv Date
Sales Tax (9.0 $0.00
Total $1,700.00
Payments /Credits $0.00
Balance Due $1,700.00
Phone Fax E -mail Web Site
317.571.1677 317.571.1668 info laser flash.com www.laser- flash.com
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.
355022 Laser Flash, Inc. Terms
617 Third Avenue SW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2113/09 90 iField trip 7122109 20191 F 1,700.00
Total j 1,700.00
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.
355022 Laser Flash, Inc. Allowed 20
617 Third Avenue SW
Carmel, IN 46032
In Sum of
1,700.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 90 4343007 1,700.00 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
2 -Jul 2009
Signature
1,700.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund