174051 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
q ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC
CARMEL, INDIANA 46032 JUNGLE JOHN CHECK AMOUNT: $200.00
12106 SOUTHEASTERN AVE
INDIANAPOLIS IN 46259 CHECK NUMBER: 174051
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC N UMBER AMOUNT DES CRIPTION
A046 4340800 10190 200.00 ADULT CONTRACTORS
0
R C WE
Silly Safari Station APR 112009
12906 Southeastern Avenue
Indianapolis, IN 46259
317.862.9003
www.sillysafaris.com
CONTACT INFORMATION:
Carmel Clay Parks
Ben Johnson Antmal Shows X Living Puppetry )(Storytelling
1235 Central Park Drive East
Carmel, IN 46032 DATE INVOICE OFFICIAL USE ONLY:
4/8/2009 10190
PHONE 317- 848 -7275
Program Confirmation Additional Comments
PROGRAM DATE TIME AUDIENCE Special Repeat Visit!
Spoke wl Jennifer Hammons c) 410 8145
6/4/2009 1:OOPM School Age School
REFERRED BY ICAd
PROGRAM DESCRIPTION QTY RATE AMOUNT
nimal Show Silly Safari Show starring SAFARI STEVE! 1 250.00 250.00
Alternative Minds Camp
ANIMALS AROUND THE WORLD!
Discount We're giving you a discount! Thanks for having us back. 20.00% -50.00
purahm
P.O. er F
l Dead' �'1 6 A 11
Purcha Date
i
DIRECTIONS: Ap PM14 I I v
1 0
JUN 0 8 2009
T-
ee to indemnify and hold harmless Silly Safari Shows, Inc., its owners, agents or employees from any and all claims and liability or loss of any nature or any injury(ies)
oever 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
ari Shows' part, its agents, contractors, invitees or licensees.
Signature Date
MAKE CHECK PAYABLE TO:SILLY SAFARIS Total: $200.00
4 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
4/8/09 10190 Safari Steve Show 6/4/09 20295 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
Voucher No. Warrant No.
00352689 Silly Safaris Allowed 20
12106 Southeastern Ave
Indianapolis, IN 46259
In Sum of
i
200.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1046 10190 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
18 -Jun 2009
Signature
200.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund