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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 �5 012 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