HomeMy WebLinkAbout209189 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 366270 Page 1 of 1
0 ONE CIVIC SQUARE HOOSIER HEIGHTS LLC CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 656 N 600 E
FAIR OAKS IN 47943
CHECK NUMBER: 209189
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 1 300.00 FIELD TRIPS
HOOSIER a
HEIG
z7A n oil c e
Hoosier Heights LLC Date: May 14 2012
Where The Crag's At Purchase Invoice [001
Description n
P.O. P 0r�
G.L.
To: Carmel Clay Bud
Line Descr
Purchaser 4A e,� Date 1
Approv Date 5 J��
Salesperson Job Payment Terms Due Date
Mark Jedele Facility Manager 14- May -12 6/13/12
Qty Description Unit Price Line Total
25 Group Discounted Day Pass 12.00 300.00
Subtotal 300.00
Credit Card: Name On Card Sales Tax
MC Total 300.00
Visa Card
Discover
A Exp Exp Date: Code: 1 7
MAY I 1
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Thank you for your business!
856 N 600 E Fair Oaks, IN 47943 877-536-1194 x321
Carmel o Clay
Parks &Recreation CHECK REQUEST
Date: 5/18/12
Check payable to
Name: Hoosier Heights
Address: 9850 Mayflower Park Dr.
City, State, Zip Carmel IN 46032
Mail check to payee X Return check to requestor
Check Amount 300.00 Date Required 6/12/12
Check needed for Hoosier Heights for Chillville Summer Camp on 6/12/12
To be paid from
PO (if applicable) 30792
Budget account GL 1082 -9 4343007
Budget Line Description Field Trip
Invoice(s) and Purchase Order ff required} MUST be attached.
Requested by (print): Jennifer Holder
Requested by (signature): L" G
Approved by (signature of Division Manager):
on this date S -t�
Form revised 7 -7 -08 Shared Administrative Forms Staff forms Check Request (rev 7 -7 -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.
Hoosier Heights LLC Terms
856 N 600 E
Fair Oaks, IN 47943
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/14/12 1 Field trip Chillville 6/13/12 30792 300.00
Total 300.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
Hoosier Heights LLC Allowed 20
856 N 600 E
Fair Oaks, IN 47943
In Sum of
300.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -9 1 4343007 300.00 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
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund