210595 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00353341 Page 1 of 1
ONE CIVIC SQUARE WOODLAND BOWL
CARMEL, INDIANA 46032 3421 E 96TH ST CHECK AMOUNT: $175.50
INDIANAPOLIS IN 46240
CHECK NUMBER: 210595
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4343007 5/22/12 175.50 FIELD TRIPS
g 3421 E. 96th Street
Indianapolis, IN 46240
Phone 11: 144 -4099 Fax 573 -2051
www.royalpin.com info @royalpin.com
TO P! CJG Q�S �G Invoice
Invoice D ate: ZZ
�e '1 1 2 n Reference Information: I
I
ORDERED SHIPPED DESCRIPTION PRICE PER AMOUNT
1 1 7 CJ
Sales Ta
a Total is Due No Later Than 30 Days After the Date of the Invoice Total Amount Due j�
Any Questions, Please Call the Number- Above. After 30 Days, Add 5 After 45 Days, Add 10
Pumh
pescr;Pt►on O n9 n Pa
P.O.4 �I� Ooh
G.L. t I
Budget
Line Dena ate 2c —1
Purchaser Date Z
APProval J
Carmel Clay
Parks &Recreation CHECK REQUEST
Date: 22- Z
Check payable
Name: �Jnnd lQ nd
Address: -3 L' 2 1 F—
City, State, Zip 1 n a n c, n 2-,
Mail check to payee �Retum check to requestor
Check Amount I j s l) Date Required I L
Check needed for I� r
I (71 d T r D Ft r (-d- i, S Co
RVn E00b 2S
To be paid from
PO (if applicable) --7
Budget account GL
Budget Line Description �I 1 Ll f j fi S
Invoice(s) and Purchase Order (if required) MUST be attached.
Requested by (print). I n
Requested by (signature):
Approved by (signature of Division Manager):
on this date 1-
Form revised 7 -7 -08 Shared Forms Business Services Check Request Form 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.
00353341 Woodland Bowl Terms
3421 E 96th St
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/22/12 5/22/12 Filed trip 7/20/12 175.50
Total 175.50
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.
00353341 Woodland Bowl Allowed 20
3421 E 96th St
Indianapolis, IN 46240
In Sum of
175.50
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -6 5/22/12 4343007 175.50 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
Signature
175.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund