209751 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 353902 Page 1 of 1
0 ONE CIVIC SQUARE CHILDREN'S MUSEUM OF INDIANAPOLI AMOUNT: $283.50
CARMEL, INDIANA 46032 PO Box 3000
INDIANAPOLIS IN 46206 CHECK NUMBER: 209751
CHECK DATE: 6118/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 2129545 283.50 FIELD TRIPS
The of e
Group Express Check -In Fr
Groups must check in at the museum's Group Arrival entrance.
Rewrvat'on J11 T 5 Date of�Visit I
i Group Name 0 1 [Tie 1' C�1 k YG(
Billing Address 1z!5 cPill�(Uti P,-A( V 0 E ATTN 1 1 Y1k Y!/I
City Cal l IM P 1:.. State I 1\J ZIP q1 0 0 2i
r ,15
Museum Attendance /Fees
Type Number Attending Fee Tot'A (Museum`Use
r
s` Full Price Yout _22 —7 $8.50'i
r<'
r Member Youth Free' $W0
'Full Price Adult $13.50'
Member Adult Free $0 00
Full Price Senior (60 and over) $12.75
Member Senior Free $0 00
Carousel Tickets
T e Number of Tickets Fee Total (Museum Use)
Paid Riders $1.00
Museum Members V Free $0 00
Gran otal y
T s�*
*Museum Member Verification for current museum members attending with the group must be a out entire y
Meruhergz >estprivileges and discounts do not apply. Please copy this form to report additional members.
Name Membership Exp. Date Adult or Youth?
tat
PU
Description
P.O.# J
r a,
a
Budget
Ii 2` Line Desor.,
Purch
Date
t n k
Date
I o' l R.
Contact Person's Signature —I understand that my organization will be billed from this form If fees are not paid in full on the day of the visit, and that
M' adjustments to this form will not be accepted. r
Contact Person's Name �'P' !1' "i1(1 I i I O UA\J :�,k jCM mhd Phone lY C t 79
CAA i l ✓t r v- -J Date
Signature. .V�`
V U
For museum u'se only Bill Pa,d m Full Paid Partial Overpaid, Refund Due CHILDREN'
Recei ed Amount CA CK CC Notes: SI
A:
/Bal fund Due RU Check Requesred ❑Yes N/A Date: SI I ®C� N MUSEUM
000 N. Meridian Sr., Indiana >olis, l lN 46208 716
r uston ervice C.en[er
white copy —user drawer yellow copy customer or 800= 820 -6214
12 -16003
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.
353902 Children's Museum of Indianapolis Terms
P.O. Box 3000
Indianapolis, IN 46206
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/1/12 2129545 Field trip 30790 283.50
Total 283.50
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.
353902 Children's Museum of Indianapolis Allowed 20
P.O. Box 3000
Indianapolis, IN 46206
In Sum of
283.50 _f
I
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1082 -4 2129545 4343007 283.50 i 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
14 -Jun 2012
nub
Signature
283.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund