173542 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352689 Page 1 of 1
ONE CIVIC SQUARE SILLY SAFARI SHOWS, INC CHECK AMOUNT: $250.00
a CARMEL, INDIANA 46032 JUNGLE JOHN
12106 SOUTHEASTERN AVE CHECK NUMBER: 173542
INDIANAPOLIS IN 46259
CHECK DATE: 611012009
DE PARTMENT ACCO PO NUM BER INVOICE NUMBER AMOU DE SCRI P TION
1046 4340800 1.0248 250.00 ADULT CONTRACTORS
r
Silly Safari Station RE" D
12106 Southeastern Avenue APR 2 2 2009
Indianapolis, IiV 46259
317.862.9003'
www.sillysafaris. com
CONTACT INFORMATION:
Ing
Carmel Clay Parks
Ben Johnson Animal Shows X Living Puppetry X Storytelling
1235 Central Park Drive East
Carmel IN 46032 DATE INVOICE OFFICIAL USE ONLY:
4/19/2009 10248
PHONE 317- 848 -7275
Program Confirmation Additional Comments
PROGRAM DATE TIME AUDIENCE Special Repeat Visit!
Spoke wl Amy Baldauf c) 418 -6917
5/27/2009 3:30PM School Age Smokey Row Elem
900 W 136th St
REFERRED BY ICAd
PROGRAM DESCRIPTION QTY RATE AMOUNT
A nimal Show Silly Safari Show starring CRITTER COLLEEN! 1 250.00 250.00
v
Purchase
Description 0C 11 DS��
P.Q. DPw F s
CIL CAD MAY 2 6 1009
Budget
Line Descr
Purchaser Data
Approval Data �3
DIRECTIONS:
AWw to indemnify and hold harmless Silly Safari Shows, Ina, its owners, agents or employees from any and all claims and liability or loss 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: $250.00
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
Terms
00352689 Silly Safaris
12106 Southeastern Ave
Indianapolis, IN 46259
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s)}
20303 250.00
4119109 10248 Animal show SR 5127/09
Total 250.00
I hereby certify that the attached invoice(s), or bill($) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20,
Clerk- Treasurer
_1 46
Voucher No. Warrant No.
00352689 Silly Safaris Allowed 20
12106 Southeastern Ave
Indianapolis, IN 46259
InSumof$
250.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1046 10248 4340800 250.00 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
4 -Jun 2009
1
Signature
250.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund