HomeMy WebLinkAbout209802 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 355022 Page 1 of 1
ONE CIVIC SQUARE LASER FLASH INC
CARMEL, INDIANA 46032 617 THIRD AVE SW CHECK AMOUNT: $300.00
CARMEL IN 46032 CHECK NUMBER: 209802
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 122 300.00 FIELD TRIPS
1
,facet (flm6h, 2ize. T_' X'IVED Invoice
617 Third Avenue Sw JUN 0 6 2012
Carmel, IN 46032 Date Invoice
5/31 /2012 122
Bill To
Purchase e t
Carmel Clay Parks Descripdon
1235 Central Park East P.O. U' U 0 a— Poro
Carmel, Indiana 46032 G.L. I 0 a 3� S 0S)
Budget
Line Descr
Purchaser
Approval Dat
Terms Due Date
day of event 05/31/2012
Description Qty Rate Amount
single session of laser tag 25 13.00 325.00
discount 25 -1.00 -25.00
staff members playing laser tag 4 0.00 0.00
Sales Tax (9.0 $0.00
Total $300.00
Payments /Credits $0.00
Balance Due $300.00
Phone Fax E -mail Web Site
317.571.1677 317.571.1668 info @laser- flash.com www.laser- flash.com
Carmel Clay
Parks &Recreation CHECK REQUEST
E Y :j Date: 6/4/12 06 2012
Check payable to
Name: Laser Flash Inc.
Address: 617 Third Avenue Sw
City, State, Zip Carmel, IN 46032
Mail check to payee X Return check to- requestor
Check Amount 300.00 Date Required 7/5/12
Check needed for Laser Flash Inc. for Chillville Summer Camp on 7/5/12
To be paid from
PO (if applicable) C QC� Z-UQb2
Budget account GL 1082 -9 4343007
Budget Line Description Field Trip
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print): Jennifer Holder
Requested by (signature):
g U
Approved by (signature of Division Manager):
on this date G
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.
355022 Laser Flash, Inc. Terms
617 Third Avenue SW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/31/12 122 Field trip 30902 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
20_
Clerk- Treasurer
Voucher No. Warrant No.
355022 Laser Flash, Inc. Allowed 20
Do 1")c& nc..i j
in Sum of
G 'ION FOR
108 ESE
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
1082 -9 122 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
14 -Jun 2012
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund