209863 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365409 Page 1 of 1
ONE CIVIC SQUARE WHEEL FUN RENTALS CHECK AMOUNT: $325.00
CARMEL, INDIANA 46032 801 W. WASHINGTON
INDIANAPOLIS IN 46204 CHECK NUMBER: 209863
CHECK DATE: 6/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 517 325.00 FIELD TRIPS
v JUN 66 P-0;Z
N T A BY.
Carmel Clay Parks and Recreation Purchase a
Jennifer Holder Description �Q
P.o. f oyfl�5 Z(rly
10404 Orchard Park Drive South c.i_.
'z:,dg
Indianapolis, IN 46280 _noDescr
rova! Date (C7
May 17, 2012
Invoice 0517
�000
May 31, 2012 Bike Rentals 5 -6 pass bikes $125.00
June 28 2012 Boat Rentals 8 -4 erson Paddle Boats 200.00
P Z L O D�
Total $325.00
Thanks
Rob Reynolds
Wheel Fun Rentals
801 W Washington Street
Indianapolis, IN 46204
Carmel •Clay
Parks &Recreation CHECK REQUEST
Date: 6/4/12
0 6 2012
Check payable to b.
Name: Wheel Fun Rentals
Address: 801 W. Washington Street
City, State, Zip Indianapolis, IN 46204
Mail check to payee X Return check to requestor
Check Amount 325.00 Date Required 6/28/12
Check needed for Wheel Fun Rentals for Chillville Summer Camp on 5/31/12 6/28/12
To be paid from
F— L °I
PO (if applicable) 0 6 O Z UIDI
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):
Approved by (signature of Division Manager):
on this date (o r``� CL=
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.
365409 Wheel Fun Rentals Terms
801 W. Washington Street
Indianapolis, IN 46204
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/17/12 517 Field trips 5/31 6/28/12 325.00
Total 325.00
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.
365409 Wheel Fun Rentals Allowed 20
801 W. Washington Street
Indianapolis, IN 46204
In Sum of
325.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -9 517 4343007 325.00 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
C-
Signature
325.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund