HomeMy WebLinkAbout209787 06/18/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 353648 Page 1 of 1
ONE CIVIC SQUARE INDIANA STATE MUSEUM
a CARMEL, INDIANA 46032 650 W WASHINGTON ST CHECK AMOUNT: $1,416.00
INDIANAPOLIS IN 46204 CHECK NUMBER: 209787
SON O
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 149334 1,416.00 FIELD TRIPS
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: _C F jV ;E, I
JUN 012012
Check payable to 7')
4
Name: W )AC 0\03\ S�cti�c
Address:
City, State, Zip G 0. tQ �9
Mail check to payee V Return check to requestor
Check Amount Date Required t!t W41 1 Q
Check needed for
�t GC.G.� lcnf\ J�c�.� l yY1 �'uti�1�l'��r �C. Y111Q
To be paid from c�
PO (if applicable) C C) Oo Qa 4 o
Budget account GL 4� 3 0c) I U z c�
Budget Line Description 1 tU p
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print):
Requested by (signature):
Approved by (signature of Division Manager):
on this date
Form revised 7 -7 -08
INDIANA STATE MUSEUM e\�
GUEST SERVICES Purchase
650 W. Washington Street Description
Indianapolis, IN 46204
P C`�i;�(�,J�+� (317) 232 -1637 P.O.# �0y�a���� Por�
G.L.
JUN 012012 Bna Descr \C�P
A' C Purchaser \T"`'`' Date -1 1 Z
BY. 1 1� V ®I C L Approval
CUSTOMER INVOICE NUMBER: ARRIVAL DATE TIME:
CARMEL CLAY PARKS AND RECREATION 149334 06/27/2012 9:30 AM
LUNCH
JENNIFER HAMMONS LUNCH ROOM 11:30
1235 CENTRAL PARK DR E AGENT'S NAME
CARMEL, IN 46032 KELSEY 317.234.1728
SHIP TO
760 3RD AVE SW STE 100
CARMEL, IN 46032
US
QTY` "ems dL�' DES.CF2IPTIOIV' g}�� r= PFZICE� NT N�""`
TE 10
168 LUNCH ROOM 0.00 0.00
SCHOOL LUNCH ROOM 06/27/2012 11:30 AM
150 COMBO GROUP CHILD 8.00 1200.00
IMAX PENDING
18 COMBO GROUP ADULT 12.00 216.00
IMAX PENDING
TOTAL 1416.00
PAYMENT 0.00
BALANCE DUE 1416.00
1
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.
353648 Indiana State Museum Terms
650 W Washington Street
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/27/12 149334 Field trip 6127/12 30493 1,416.00
Total 1,416.00
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.
353648 Indiana State Museum Allowed 20
650 W Washington Street
Indianapolis, IN 46204
In Sum of
1,416.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 149334 4343007 1,416.00 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
M /qU)7
Signature
1,416.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund