HomeMy WebLinkAbout209135 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT, INC CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 8485 W WASHINGTON STREET SUITE #9
ue INDIANAPOLIS IN 46231 CHECK NUMBER: 209135
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 4070C 150.00 ADULT CONTRACTORS
Carmel c Clay
Parks &Recreation CHECK REQUEST
Date: tj I s
Check payable to
Name: FOM k_0, L n
Address: r�S 4F� S SA
City, State, Zip :rn ce rN 0 C ,I 0 i3 I t I
Mail check to payee Return check to requestor
Check Amount i'��� C Date Required co I I
Check needed for Q('�Y �:tv t? \J Q (Ad C� r
To be paid from
PO (ii applicable)
Budget account GL E 0 C�� 10
Budget Line Description .Q_X 1 A C r Cn .L l (P irc
Supporting documentation or receipt(s) MUST be attached.
Requested by (print): L,.&,Q a k
Requested by (signature):
Approved by (signature of Division Manager): t b- on this date
Form revised 1 -21 -08
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.
00353387 Family Time Entertainment, Inc. Terms
8485 W Washington Street, Ste 9
Indianapolis, IN 46231
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/9/12 4070C Program Preschool Palace 6/22/12 150.00
Total 150.00
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.
00353387 Family Time Entertainment, Inc. Allowed 20
8485 W Washington Street, Ste 9
Indianapolis, IN 46231
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -2 4070C 4340800 150.00 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
17 -May 2012
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund