HomeMy WebLinkAbout209763 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 00353387 Page 1 of 1
i5• e `s. ONE CIVIC SQUARE FAMILY TIME ENTERTAINMENT, INC CHECK AMOUNT: $150.00
/p°' CARMEL, INDIANA 46032 8485 W WASHINGTON STREET SUITE #9
INDIANAPOLIS IN 46231 CHECK NUMBER: 209763
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4340800 4070E 150.00 ADULT CONTRACTORS
FamilyTime Entertainment, Inc. FED: I D 35- 2135781
e 8485 W Washington Street 317 635 -7770 Main
Suite #9 317- 850 -1511 Cell
FAA 1 yTi -vi l a: Indianapolis fN 46231 317- 955 -3938 Fax
5 P I K •I I V K F\ •1
nh«muuv svu _n INVO INVOICE DATE
F�',CEIV 3/9/12
JUN 0 2012 Purchase FOR CONTRACT
Description y��\ Q0 E
P.o. d� UCHASE ORDER
Carmel Clay Parks Recreation v�O
G.L. I'j nnn 0000
Cyndi Canada Budget
4242 East 126th Street Line Descr
Carmel IN 46033 Purchaser Date
Approva Date S /(a
DESCRIPTION Location: Carmel Parks Camp Contract Amt: $150.00
1 Day 7/6/12 7/6/12 Michael Perry Creepy Crawler Stories Deposit Amt: $0.00
Pmt.
Make check to FamilyTime Entertainment
Mail $150 to FamilyTime by Day of Show
$150.00
Now Due
�v
Carmel 4. Cla
(1i Parks &Recreatin CHECK REQUEST
Date: I JUN 01 �01�
Check payable to
Name:
Address: iK) H i ,)ash: rte s t)
City, State, Zip 'Tn GA t c� D\ a N G-t LO S i
Mail check to payee Return check to requestor
Check Amount 1J® Date Required I 1 I c
Check needed for
To be paid from
PO (if applicable)
Budget account GL 9 7)t- D? C
f
Budget Line Description
Supporting documentation or receipt(s) MUST be attached.
Requested b "I
q Y (Print): L_L.A �Cl�, C
13 Requested by (signature): C�.
Approved by (signature of Division Manager):
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 4070E Creepy Crawler Stories 7/6/12 150.00
Total 150.00
I 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 4070E 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
14 -Jun 2012
f Phi
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund