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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