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HomeMy WebLinkAbout178390 10/14/2009 CITY OF CARMPL, INDIANA VENDOR: 00352689 Page 1 of 1 ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CARMEL, INDIANA 46032 CHECK AMOUNT: $200.00 JUNGLE JOHN 12106 SOUTHEASTERN AVE CHECK NUMBER: 178390 INDIANAPOLIS IN 46259 CHECK DATE: 10/14/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR x.1046 4340800 10193 200.00 ADULT CON'T'RACTORS ,1 Silly Safari Station' 92906 Southeastern Avenue T Indianapolis, IN 46259 317.862.9003 A PR 1 3 09 www.sillysafaris.com CONTACT INFORMATION: Carmel Clay arks Y Ben Johnson Animal Shows X Wing Puppetry )(Storytelling 1235 Central Park Drive East Carmel IN 46032 DATE INVOICE OFFICIAL USE ONLY: 4/8/2009 10193 PHONE 397- 848 -7275 Program Confirmation Additional Comments PROGRAM DATE TIME AUDIENCE Special Repeat Visit! Spoke w/ Jennifer Hammons c) 410 -8145 7/16/2009 1:OOPM School Age School REFERRED BY ICAd PROGRAM DESCRIPTION QTY RATE AMOUNT Animal Show Silly Safari Show starring ALLIGATOR AARON! 1 250.00 250.00 Alternative Minds Camp TEAM BUILDING Discount We're giving you a discount! Thanks for having us back. 20.00% -50.00 P urchase Descrlptlon S EP P.O., Po f G.L. L.1 I 1 o .........,.....5..... Bud �l 6 y oo Une Dgscr I �U Purchaser Date DiRECTIONS: Dat Free to indemnify and hold harmless Silty Safari Shows, Inc., its owners, agents or employees from any and all claims and liability or toss of any nature or any injury(ies) .soever arising out of or relating to activities on behalf of Silly Safari Shows at this event, and including, without limitation, any act of commission or omission on Silly Safari Shows' part, its agents, contractors, invitees or licensees. Signature Date MAKE CHECK PAYABLE TO:SILLY SAFARIS Total $200.00 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. 00352689 Silly Safaris Terms 12106 Southeastern Ave Indianapolis, IN 46259 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7116109 10193 Alternative Minds Alligator Aaron 7116109 20295 F 200.00 Total 200.00 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 d' Voucher No. Warrant No. 00352689 Silly Safaris Allowed 20 12106 Southeastern Ave Indianapolis, IN 46259 In Sum of 200.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 10193 4340800 200.00 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 -Oct 2009 Signature 200.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund