HomeMy WebLinkAbout210294 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 355765 Page 1 of 1
ONE CIVIC SQUARE CARMEL ICE SKADIUM
CARMEL, INDIANA 46032 1040 3RD ACE SW CHECK AMOUNT: $163.00
CARMEL IN 46032 CHECK NUMBER: 210294
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 7/12/12 163.00 FIELD TRIPS
GROUP RESERVATION 2 PRIVATE RENTAL JU
BY
RESV DATE: 6/18/12
NAME: CARMEL CLAY PARK REC. EVENT DATE: 7/12/12
POC: J HOLDER EVENT TIME: 2PM -4PM
ADDRESS: FACILITY USE: PUBLIC SESSION
PHONE: 317 679 9867 OF GUEST: 29
E MAIL JIIOLDER @CARMELCLAYPARK.COM COACH REQ.:
COMMENTS: PLEASE STAPLE RECEIPT TO THIS FORM. FILL OUT FORM BELOW TO MATCH
RECEIPT FOR MANAGEMENT. THANKS
QUANITY DESCRIPTION UNIT PRICE AMOUNT
17 Children Admission $5.00 $85.00
12 Adult Admission $6.50 $78.00
SUBTOTAL $163.00
NON REFUNDABLE LESS DEPOSIT .00
DEPOSIT RECEIVED TOTAL DUE $163.00
Purdme
Desed
P.O.
�cmP Ice Skadium 1040 3` Avenue SW Carmel, IN 46032
Budget
Line D e a f U
Punch v,�c�ci� Date Z f PLEASE REFER QUESTIONS TO:
APP al
MANAGEMENT
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 6/18/12
Check payable to
Name: Carmel Ice Skadium
Address: 1040 3 rd Avenue SW
City, State, Zip Carmel, IN 46032
Mail check to payee X Return check to requestor
Check Amount 163.00 Date Required 7/12/12
Check needed for Carmel Ice Skadium for Chillville Summer Camp on 7/12/12
To be paid from
PO (if applicable) E002650
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): Op q_ b
Approved by (signature of Division Manager):
on this date
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.
Carmel Ice Skadium Terms
1040 3rd Ave. SW
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/18/12 7/12/12 Field trip 7/12/12 Carmel Ice Skadium 163.00
Total 163.00
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.
Carmel Ice Skadium Allowed 20
1040 3rd Ave. SW
Carmel, IN 46032
In Sum of
163.00
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -9 .7/12/12 4343007 163.00 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
28 -Jun 2012
1 /1 1 2&MVPCZ1
Signature
163.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund