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175155 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 363136 Page 1 of 1 ONE CIVIC SQUARE STUCKEY FARM MARKET CARMEL, INDIANA 46032 19975 HAMILTON sooNE RD CHECK AMOUNT: $75.00 SHERIDAN IN 46069 CHECK NUMBER: 175155 CHECK DATE: 7/2212009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4343007 2097 75.00 FIELD TRIPS �t I u Carmel 9 Clay Parks &Recreation CHECK REQUEST Date: 07JuIY2009 JUL 0 1009 Check payable to Name: Stuckey Farm§ Ma'( Lor Address: 19975 �atL City, State, Zip Sheridan, IN 46069 Mail check to payee x Return check to requestor Check Amount 75.00 Date Required 28JuIy2009 Check needed for: Field Trip to Indianapolis Stuckey Farms Supporting documentation or receipt(s) MUST be attached. To be paid from Fund 4621000 Budget Line 4343007 Budget Line Description Field Trips Requested by (print): Nikeesha Pittman Requested by (signature): Approved by (signature of Division Manager): V"�' on this date 7_7 AMY L t 0 8 ?ooq 19975 Hamilton Boone Rd., Sheridan, IN 46069 317.313.6338 or www.stuckeyfarm.com Invoice #2097 DoWdp*M P.O.0 15� P To: Carmel Clay Parks and Recreation 1235 Central Park Drive East C3.L• Carmel, IN 46032 Line Re: Field Trip Scheduled for July 28 Outdoor Explorers Group Approv Fee per child is $3.00 total number of children scheduled is 25. Two adults included in the group at no charge. Total Due at time of field trip is $75.00 Check should be made payable to: Stuckey Farm Market 1997 Hamilton Boone Rd. Sheridan, IN 46069 Thank you, Jeff Pierce Owner Stuckey Farm Market 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. Stuckey Farm Market Terms 19975 Hamilton Boone Rd Sheridan, IN 46069 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 7/28/09 2097 Field trip 22159 F 75.00 Total 75.00 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. Stuckey Farm Market Allowed 20 19975 Hamilton Boone Rd Sheridan, IN 46069 In Sum of �1 75.00 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. skCCT WTITLE AMOUNT Board Members Dept 1046 2097 4343007 75.00 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 16 -Jul 2009 Signature 75.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund